Facade inspection form, 157 Duane Street

NYC 9/11 Public Portal Document

tr-

WTC Visual Survey Form Premise Address: Q ,i Block: Residentia1 Commercial Name of Building: Lot: Mix UseD OtherD ;# of Stories: b 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 4/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" South ❑ N/A 4es ❑ No .No Visible/Fine Layer ❑ Y to 1" ❑ > 1" East /A DYesDNo ❑ No Visible/Fine Layer ❑'/ to l" 0>1" West ['N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" ❑ > 1" Facade Description:

Roof

Debris: f ,io Visible /Fine Layer ❑ 34 to 1" ❑ > 1" Description:

t- a.. (/1 d"`" o V

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer 034 to V ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑'/ to? ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 034101" ❑ > 1"

Comments

Date 002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000126077