WTC Building Inspection Form, 16 Beaver Street

NYC 9/11 Public Portal Document

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WTC Visual Survey Form 1000030 Premise Address: BE Av c: . S„ r,t6 t Block: 11 Residential fl Commercial Name of Building: Lot: , "7 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 Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer El /2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Facade Qescription: tCc C e kc_s .,j sr h t% 1Guj C

Roof

Debris: ❑ No Visible /Fine Layer Y2 to 1" ❑ > 1" Description: FoM 1' Hr' a t 2c t , U(L( 1ti&--

Setbacks N/A ❑ 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 ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1"

Comments

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Date: / I i /2002 Inspection by: Name: t +~~~ ~kz,; r 1lLj- Agency: A)' CAcE ' , J. ,(e Name: Agency: ot, b4 v 4Ai. NYC-WTC-000119212