Facade inspection form, 155 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form too 1SS • rerit e'.,1%ddress: I5 NiNE T. Block: 4 4 Residential J Commercial D Name of Building: Lot: Mix Use D' Other # of Stories: 4 AKA's: Building Owner/Management: -, Telephone Number: ( ) Name: FAX: Address: On Site Contact: f 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 JJ No Visible/Fine-Lager ❑ Y2 to 1" South J N/A i Yes ❑ No No Visible/F4nQ-Layee ❑ % to 1" East D N/A D Yes ❑ No El No Visible/Fine Layer ❑'% to 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer % to 1" ❑ > 1" 0 Description: Aa _ - `i' Fs' Id - ~ L 1 I'.i 3 ra .. ~J177-/ /72/V (:-/ /' f74% !C'/i9L_

Setbacks N/A,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 ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Comments

Date: L /2x/2002 Inspection Team: Name: a t,n~ t~rz.r,R Agency: i 'P Name: Agency:

NYC-WTC- 000126072