WTC facade inspection form, 20 Beaver Street, Nov 2001

NYC 9/11 Public Portal Document

a WTC Visual Survey Form 100 Premise Address: 20 P E,4 Vi 9 S-7'RE 'T Block: 11 Residential 0 Commercial J Name of Building: Lot:f 0 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 Yes

visual inspection Results: Facade: Inspected Debris North ❑ N/A 0 Yes ❑ No ® No Visible/Fine Layer ❑'/2 to 1" 0>1" South ❑ N/A RYes ❑ No 121 No Visible/der ❑ % to 1" 0>1" East N/A Yes ❑ No O No Visible/Fine Layer ❑%to 1" 0>1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ / to 1" ❑ > 1" Facade Description:

Roof

Debris: CO No Visible Dine-Layer ❑ Y to 1" 0>1" Description: ; J✓L cfoL- r,sr31 L I A v R. gT

Setbacks N/A s Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1"

Comments 7L7 No a- bL4. C,Lees~.

Date: f 002 Inspection Team: Name: RO~m m /,? ✓ Agency: MT c .DEP Name: Agency: tct c cam.

NYC-WTC-000119158