WTC facade inspection form, 146 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form too t C,flOC) Premise Address:

Block: Residential LI Commercial Name of Building: Lot: Mix Use Other — JOs i asTfc . # of Stories: 5 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 Inspection Results: Facade: Inspected Debris North ❑ N/A BYes ❑ No No Visible/F dyer ❑'/ to 1" ❑ > 1" South ❑ N/A S Yes ❑ No No Visible/)< -___❑ % to 1" 0>1" East ®N/A ❑ Yes E] No ❑ No Vsible/Fine Layer ❑ % to 1" 0>1" West ['N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Facade Description:

Roof

Debris: No Visible ❑ h to 1" ❑ > 1" Description:

Setbacks N/A j Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El /2 to 1" ❑ > 1"

Comments

Date: 4/1/2002 Inspection by: Name: RR--rrjp:~/A,,/ Agency: Name: Agency: ENTERED

NYC-WTC 000126033