WTC facade inspection form, 143 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1 1(19 Promise Address: /;L3 9JA7v - Si Block: 14 p41 Residential 0 Commercial 0 Name of Building: Lot: - Mix Use Other # of Stories: 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 ❑ No Locations: Copies of All Reports and Data

Requested Yes Visual InsDection Results: Facade: Inspected Debris North ❑ N/A ( .Yes ❑ No No Visible/F er ❑'/tol" ❑>1" South ❑ N/A EYes ❑ No No Visible/fir ❑Y2to1" 0>1" East 10 N/A ❑ Yes ❑ No O No Visible/Fine Layer ❑V2to1" 0>1" West ' 'N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Roof

Debris: fZ No Visible F]/2 to 1" ❑ > 1" Description: e Aer

i y,-v.E 14-i ci-

Sethacks N/Aj Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Comments

Date: ////2002 Inspection by: Name: ROvr r I Agency: DEp. Name: Agency:

NYC-WTC 000126019