WTC facade inspection form, 143 Duane Street

NYC 9/11 Public Portal Document

1 WTC Visual Survey Form Premise Address: /44 Z ua n (V aCAA,w 31 Block: Residential 0 Commercial p Name of Building: Lot: 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 0 Yes 0 No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Re nested; Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No No Visible/ r ❑%to1" 0>1" D South 0 N/A M Yes 0 No No Visible 1 " "

East ❑ N/A ❑ Yes 0 No O No Visible/Fine Layer ❑ ato'1" 0>1" West ❑ N/A ❑ Yes ❑ No O No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: j j No Visible ❑ % to 1" 0>1" Description:

Setbacks N/A j Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑>1" Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1" 0>1 '

Floor. Debris: 0 No Visible/Fine Layer 0 % to 1" 0>1' Floor. Debris: 0 No Visible/Fine Layer ❑% to 1" ❑>1" Floor: Debris: 0 No Visible/Fine Layer ❑ to 1" 0>1'

Comments ~.L'

Date: 5/ 12002 Inspection Team: Name: }-r'7 Agency: ( F'• N T E R E I) Name: Agency:

NYC-WTC 000126025