WTC facade inspection form, 137/141 Duane Street

NYC 9/11 Public Portal Document

6

WTC Visual Survey Form Premise Address: ~,~~ 137- / 62&66 974 ,E Block: Residential Commercial Name of Buildin : Lot: 5 Mix Use D Other*[] # of Stories: AKA's: Building Owner/Management: R c d ki Telephone Number (zi ) 1' - _, Name: Address: On Site Contact: DII II 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/Finc-huyer ❑%to1" ❑>1" South ❑ N/A J Yes ❑ No No Visible/E a yer ❑Yato1" ❑>1" East J N/A ❑ Yes ❑ No O No Visible/Fine Layer 0% to 1" O>1" West W N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" ❑>1" Facade Description:

Roof

Debris: NNo VisibIeffi er— ❑Yato1" ❑>1" Description:

Setbacks N/A0 Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Via to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer V O to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Via to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer [] Va to 1" ❑ > 1"

Comments

Date: 4 1 12002 Inspection by: Name: iZ Agency: £P E ~ TE RE4 Name: Agency:

NYC-WTC 000125795