Facade inspection form, 150 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1001599 Premise Address:

Block: f Residential U CommercialD Name of Building: Lot: Mix Use f J Other # of Sto i : 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 Kesullts: Facade: inspected Debris North ❑ N/A Yes ❑ No J No Visible/ w,L.r ❑'A to 1" 0>1" South N/A D ❑ No Yes ❑ No Visible/Fine Layer ❑'A to 1" 0>1" East [ N/A ❑ Yes ❑ No ❑ No Visible/F1rt'syer ❑ % to 1" 0>1" West ❑ N/A Yes ❑ No [0 No Visible/Fn ❑ % to 1" 0>1" Facade Description:

Roof

Debris: ZNo Visible Saar E]'/ to 1" 0>1' Description: Ac tt jM s-L i 4 T

Setbacks N/A 10 Floor: Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ A to 1" ❑ > 1" Floor: Debris: 0 No VSible/Fine Layer 0 4 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'A to 1" ❑ > 1"

Comments

Date: / t )O Inspection Team: Name: jZ441 Agency: Name: Agency:

NYC-WTC 000126066