WTC facade inspection form, 20 Beaver Street, Nov 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: g .~ S Block: Residential 0 Commercial J Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management Telephone Number: ( ) 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 Q Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes [] No ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer ❑ %a to 1" [J>1" East ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer E]'/a to 1" [J > 1 West ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer ❑'/a to 1" 0>1" Facade Description: C-i c A~

Roof

Debris: Visible /Fine Layer ❑ %a to 1' ❑ > 1" Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer 0 to 1' ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑ /a to 1' ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 1/a to 1' 0> 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ >V

Comments

Date: /11002 Inspection Team: Name: Agency: Name: Agency: EWr NYC-WTC-000119154