WTC facade inspection form, 148 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 071 2.07 Premise Address: / / / PL Block: Residential El Commercial El Name of Building: 4► Mix Use Lot: Other 0 - # of Sto es: 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 Kesults: Facade: Inspected Debris North ❑ N/A 10 Yes ❑ No No Visible/Eintuyir ❑ 1/tom" 0>1" South ❑ N/A E Yes ❑ No No Visible/F r ❑ 1/tol" ❑>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0 1/ 2 t01" 0>1" Facade Description:

Roof

Debris: No Visible /F ❑ % to 1" ❑ > 1" Description: ACc.e c~ ad,0 ,tee u c, . JGc 6 2x . c4-

Setbacks N/Ag Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ !2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1"

Comments

Date: 4 1 Ii 1; 0j) Inspection by: Name: vu /c Agency: „17E Name: Agency:

NYC-WTC 000126041