WTC facade inspection form, 142 Duane Street

NYC 9/11 Public Portal Document

' WTC Visual Survey Form 1 o

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Block: 1 Residential fl Commercial Name of Building: Lot: I Mix Use 0 Other ❑ # of Stories: 7 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 Q No Locations: Copies of All Reports and Data Requested U Yes

visual inspection Kesuits: Facade: Inspected Debris North ❑ N/A [ Yes ❑ No No Visible/Fioe€eyer ❑ % to 1" ❑ > 1" South ❑ N/A ®'Yes ❑ No No Visible/ ta.+ ryrer- ❑ % to 1" ❑ > 1" East N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description:

Debris: (0 No Visible /Fins ❑ %% to 1" ❑ > 1" Description:

Setbacks N/A Ea Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments I '14 Nei ✓ 11'D) P

Date: /I /2002 Inspection by: Name: tom'ct7rii ha. Agency: DAP. Name: Agency: r- R

NYC-WTC 000126014