WTC facade inspection form, 137/141 Duane Street

NYC 9/11 Public Portal Document

r WTC Visual Survey Form Premise Address: ~,~~

Block: Residential 0 Commercial 0 Name of Buildin : Lot: 5 Mix Use 0 Other ,j # of Stories: AKA's: Building Owner/Management R Gp telephone Number (Z/Z) _XT oQ Name: Address: On Site Contact /: h. Name: S,,pe4d. Telephone Number 7' - Utt-7 3 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±uyer ❑ % to 1" 0>1" South ❑ N/A ®'Yes ❑ No No Visible/Ee yer ❑ Va to 1" 0>1" East J N/A ❑ Yes ❑ No 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" West l N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: NNo VisibIeJ yer— ❑%to1" 0>1" Description:

Setbacks N/AJ Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer [] Va to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments

Date: 4 / 11 /2002 Inspection by: Name: IZ • Ra r 7ro Lim Agency: £P E ~ TE RE4 Name: Agency:

NYC-WTC 000125795