WTC Building Inspection Form, 16 Beaver Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Address:

Block: j Residential 0 Commercial Name of Building: Lot: J Mix Use ❑ Other #of Stories: - AKA's: Building Owner/Management: ({s, / eAV6k Gib: Telephone Number: (ZJ Z,) L Name: y it. 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 f Yes ❑ No No Visible/Fine Layer ❑'/2to1" ❑>1" South 1N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2tol" 0>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" West ❑N/A , Yes❑No ®'No Visible/Finc Layer' D% to 1" 0>1" Facade Description:

Roof

Debris: PNo Visible IF -me Layer— R'/2 to 1" 0>1" Description:

Setbacks N/A Floor. R Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 6 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 2- 12L /2002 Inspection Team: Name: Au1')v71 ? H,4^i Agency: lvic DEP. Name: Agency:

NYC-WTC-000119207