161 DUANE STREET Block: 144 Lot: 15 BIN: 1001561

NYC 9/11 Public Portal Document

WTC Visual Survev Form ir tnise Address: t ~ c ,i G Block: Residential CommerciaP . Name of Building: Lot: Imix imarlOther fl # of Stories: AKA's: Building Own !Management: Telephone Number. ( ) Name: FAX: Address: On Site Contact Name: ' p b tL Telephone Number Building Owner Management Activities Interior Survey Performed 1Yes No Exterior Survey Performed Q Yes 8 No General Clean Up 0 Yes 0 No Locations: ACM Clean Up Q Yes ❑ No Locations: Air Monitoring 9 Yes[] No Locations: Copies of All Reports and Data Requested Yes

Visual inspection Results: Facade: In ected Debris North ❑ N/A No No Visible/Fine Layer h to 1' 0>? Q Yes ❑ No 0>1' South East West /A /A A Q Yes Q No t] Yes Q No R No Visible/Fine Layer 34to 1' No Visible/Fine Layer OVatol' j] No Visible/Fine Layer QYato1' 0>1' 0>1' Facade Description:

Roof

Debris: j No Visible /Fine Layer .[] 34 to 1' [] > V Description:

Setbacks N/A Q Floor Debris: ❑ No Visible/Fine Layer ❑ 34 to V 0>1. Floor. Debris: No Visible/Fine Layer ❑ 34 to V > 1' Floor. Debris: H No Visible/Fine Layer 034101. > 1' Floor. Debris: No Visible/Fine Layer 934 to 1' 0> 1' Floor. Debris: H No Visible/Fine Layer ❑ 34 to 1' tJ> 1' Comments

Date: _„ j 1 12002 Inspection Team: Name: '- n'L Agency: Name: Agency:

NYC-WTC 000126115