WTC facade inspection form, 24 Beaver Street, Nov 2001

NYC 9/11 Public Portal Document I L WTC Visual Survey Form /OOOv'3 U 'Premise Address: 24 BEA vER . Block: ResidentialD Commercials Name of Building: Lot: I Mix Use J Other ❑ # of Stories: AKA's: Building Owner/Management: 2i y ct'- Telephone Number: ( 2(z. ) 7$ z — y n~ Name: FAX: Address: On Site Contact: Name: Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

visual inspection Kesuits: Facade: Inspected Debris North ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer [j'/ to 1" 0>1" South ❑ N/A 2 Yes ❑ No ❑ No Visible/Fine Layer El'/ to 1" 0>1" East ® N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [j'/ to 1" 0>1" West ®N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" 0>1" Facade Description:

Roof

Debris: (y"No Visible /F .►r ❑'/2 to 1" 0>1" Description: /mow ROOF 1l1ISTA~ .E.D /?FrCR 9/rr

Setbacks N/AP, Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %s to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 2- //2002 Inspection Team: Name: RAnh Wsi Agency: N/ ZEP Name: Agency:

NYC-WTC-000119144