WTC Facade Inspection Form, 105 Duane Street

NYC 9/11 Public Portal Document

. V. WTC Visual Survey Form ( 0 ®(650 Premise Address: ~ ~UA.v~ ~* Block: I ) I Residential Commercial p Name of Building: Lot: I Mix Use 0 Other # of Stories: AKA's: lo c- / Building O . er/Ma a eme s I/O •- / 25 riwijile Telephone Num r. ( ) Name: ~ '~k` FAX: Address: L ( '€C& E u~ P r-3 Lp e/o4ec C au 7z-S4A s Av.L./ ))4. I oot On Site Co ct: Name: ' Telephone Number. 2 ( 2t76 Building Owner Management AtivItles Interior Survey Performed 135es ❑ No Exterior Survey Perfom'red QVes ❑ No f ~~ General Clean Up 'Yes 0 No Locations:______________________________________ ACM Clean Up ❑ Yes Qo Locations: Air Monitoring ❑ Yes o Locations: Copies of All Reports and Data Requested 3rVes

Visual lnsDection Results: Facade: Inspected Debris North ❑ N/A ['es ❑ No o Visible/Fine Layer ❑ % to 1" 0>1" South ❑ N/A 01es fl No o Visible/Fine Layer ❑'/tol" 0>1" East ❑ N/A EY-esHNo Duo Visible/Fine Layer ❑/tol" 0>1" West ❑ N/A Yes ❑ No D14o Visible/Fine Layer ❑htol" 0>1" Facade Description:

Roof

Debris: Ef10 Visible /Fine Layer ❑ % to 1" 0>1" Description:

Setbacks N/A3' Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" 0>1" Floor. Debris: j] No Visible/Fine Layer ❑ h to 1" 0>1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer ❑ h to 1' 0> 1" Floor. Debris: 0 No Visible/Fine Layer [] % to 1" 0>1. ~Ti~'? C •11

Date: c-) /=12002 Inspection Team: Name: C5tt Agency: V 4f Name: NT1ERE ------- -------------------- NYC-WTC 000125843