WTC facade inspection form, 22 Beaver Street, Nov 2001

NYC 9/11 Public Portal Document

M WTC Visual Survey Form 1000 c7 '~ v Premise Address: 2- 2 c A V &R c 7—R aE'7 Block: 1 Residential 0 Commercial 0 Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: V+ RvEruS Lvc. Telephone Number: (2/2. )4 -47 Name: ru 5, , . i3Ic FAX: Address: z e✓ iv /c tr0 4i On Site Contact: Name: J)e nn s: L/ raAC -09 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 (Z No Locations: Copies of All Reports and Data Requested Yes

visuai inspection Kesuits: Facade: Inspected Debris North ❑ N/A Yes ❑ No No Visible/Fine Layer 0 1/ 2 t0 1" 0>1" South ❑ N/A Yes ❑ No No Visible/Bayer ❑'/ to 1" ❑ > 1" East ® N/A D Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" West 0 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Facade Description:

I Roof

Debris: 1f No Visible /Fine Layer ❑%to 1" 0>1" Description:

Setbacks N/Ar Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No VSible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y% to 1' ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 2 / 21 /2002 Inspection Team: Name: qMW-HA"/ Agency: N'C .bEP Name: Agency:

NYC-WTC- 000119172