WTC facade inspection form, 149 Duane Street

NYC 9/11 Public Portal Document

4 WTC Visual Survav Form 1001( ( t Pmnri a Address: Block: Residential 0 Commercial Name of Building: Lot: MixUseD Other -- # of Stories: AKA's: Building Owner/Management Ler~j h a ck Telephone NumberI P11 Name: .,; FAX: -.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-. Address: -.-.-.-.-.-.-.-.-Pii------------------, 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 ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y to 1" O>1" South ❑ N/A e(Yes ❑ No ® No Visible/ oer ❑'/2 to 1" ❑ > 1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" O>1" West ❑ N/A E Yes ❑ No E[No Visible/ ❑ % to 1" ❑ > 1" Facade Description:

I Roof

Debris: No Visible ' ❑ % to l" O>1" Description:

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

Date::/ Ld WU02 Inspection by: Name: Agency: Name: Agency:

NYC-WTC 000126046