Facade inspection form, 159 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 1 so, Block: Residential Commercial J Name of Building: Lot: Mix UseD Other # of Stories: 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: Ins ected Debris North ❑ N/A es No No Visible/Fine Layer ❑%to1" []>1" South ❑ N/A Yes Q No ❑ No Visible/Fine Layer O 34 to 1" 0>1" East ❑ N/A ❑ Yes O No ❑ No Visible/Fine Layer 034101" 0>1" West ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer []Ytol" 0>1" Facade Description:

Roof

Debris: CNo Visible /Fine Layer .04 to? 9>1" Description:

Setbacks NJA Floor. Debris: ❑ No Visible/Fine Layer ❑ % to? ❑ >V Floor Debris: ❑ No Visible/Fine Layer ❑ 4 to V 9> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 3 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑'% to V ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" 9> 1" Comments

Date: S / ) 12002 Inspection Team: Name: ( iL Agency: Name: Agency:

NYC-WTC 000126085