WTC asbestos inspection form, 173/175 Duane Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10 O 1 5 4 premise Address: 1~7 ! - S . Block: I Residential Commercial Name of Building: Lot: Mix Use Other # of Sto es: 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 j Yes visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/a to 1" 0>1" South N/A j Yes No ( No Visible/Fine Layer D/to1" ❑ East D N/A D Yes1J No O No Visible/Fine Layer 0>1"" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑'/ to 1" ❑ > 1" Description: ct,, 44-, ,r /)h C-i OR

Setbacks N/A ❑ Floor. 41 Debris: ❑ No Visible/Fine Layer Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer fl '/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Comments On t& Ccz rip y 4 ma gi --, Y-a ,, ce - (" &M f .2'4 f/- #9f)

Date: 4/x/2002 Inspection Team: Name: R®.14 ? Agency: •P Name: Agency: ENTERED

NYC-WTC 000125790