Facade inspection form, 159 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10-011S(00 Premise Address: 5q £Mi-Afji £T. Block: Residential Commercial Name of Building: Lot: I Mix Use ❑ Other a] # of Stories: AKA's: Building Owner/Management: Telephone Number: (2,i 2) Zt 7 a '~ Name: F : Address: I On Site Contact: Name: S- WARM Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed Q Yes ❑ No Exterior Survey Performed ® Yes ❑ No General Clean Up Yes ❑ No Locations: ACM Clean Up J Yes 0 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 [l No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South N/A ,® Yes ❑ No No Visible/Fine-La ier Q'/2to1" 0>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/to1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1" Facade Description:

Roof

Debris: jNo Visible /Fine Layer 'W '/2 to 1" ❑ > 1" Description: z -r- L up i FI C]Af f _v Al /—' I_I-r 72- 6' t AI 1- c J - I AJ

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

Comments c tigc

Date: 4/21 >/2002 Inspection Team: Name: r. GV144^1 Agency: t71 ' Name: R Agency: ii

NYC-WTC 000126089