WTC facade inspection form, 138/140 Duane Street

NYC 9/11 Public Portal Document

$ I O)? q WTC Visual Survey Form Premise Address:

Block: Residential D Commercial Name of Building: Lot: Mix Use D Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On SiteContact: Name: Telephone Number: ) Building Owner Management Activities Interior Survey Performed []Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes Cj No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes [] No Locations: Copies of All Reports and Data Requested Yes

visual Inspection Results: Facade: inspected Debris North ❑ N/A Yes ❑ No No Visible/Ffnetl er ❑%to 1" ❑> 1" South D N/A EYes ❑ No No Visible/Fins- er ❑%to 1" 0>1" East j N/A [j Yes ❑ No O No Visible/Fine Layer ❑%to 1" 0>1" West a N/A Q Yes ❑ No 0 No Visible/Fine Layer ❑'/%tot" 0>1" Facade Description:

Roof

Debris: No Visible R ❑ % to 1" 0>1" Description: s=~~ , r . ICd

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: J No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: Q No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ A to 1" ❑ > 1"

I Comments

Date: +//2002 Inspection by: Name: Agency: ;, Name: Agency: s~ E RE

NYC-WTC 000126011