WTC facade inspection form, 171 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: % 1 1 ~ 1 tL*rNE D .

Block: Residential D Commercial j 1 Name of Building: Lot: Mix Use Other # of Stories: 4 AKA's: Building Owner/Management: Telephone Number P II Name: trt FAX: ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._ Address: 1 , On Site Contact: Name: " L. Lt f (\flto6 Telephone Number:; P11 Building Owner Management Activities ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._ Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up O Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring O Yes ❑ No Locations: Copies of All Reports and Data Requested EYes

Visual Inspection Results: Facade: Inspected Debris North N/A Yes ❑ No No Visible/F a-Layer ❑ Ya to 1" O>1" South N/A Yes ❑ No No Visible/Fine-Lay ❑ /a to 1" ❑ > 1" East N/A j J Yes ❑ No No Visible/Fine Layer ❑ % to? ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to l" O>1" Facade Description:

Roof

Debris: No Visible Mine-I ayEt ❑Mato 1" O>1" Description:

Setbacks N/A jp Floor Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer El Y to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer O 4 to 1" O>? Floor. Debris: ❑ No Visible/Fine Layer O % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Ya to? ❑ > 1"

Date: 12© /2002 Inspection Team: Name: Ri ern 4. £in_e d1 Agency: E' Name: I Agency: ENTERED

NYC-WTC 000125775