WTC facade inspection form for mixed-use building, Duane Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form ,, inks Address: 166 Residential Commercial Block: 0 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 [j Yes ❑ No Exterior Survey Performed [] Yes Q No General Clean Up 0 Yes ❑ No Locations: ACM Clean Up ❑ Yes [] No Locations: Air Monitoring ❑ Yes Q No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North `N/A ❑ Yes Q No 0 No Visible/Fine Layer h to 1" >V South ❑ /A es ❑ No o Visible/Fine Layer B%to 1" 0> 1" East /A "' Yes ❑ No ] No Visible/Fine Layer h to 1" j] > 1" West ~N/A [j Yes ❑ No ❑ No V sible/Fine Layer B%to 1" D>1 Facade Description:

Roof

Debris: ] No Visible /Fine Layer .❑ % to 1" 9> 1" Description:ll

Setbacks N/A 0 0 Floor„__,. Debris: No Visible/Fine Layer % to V 9>1 .

Floor____ Debris J No Visible/Fine Layer % to 1' > 1` Floor Debris: 0 No Visible/Fine Layer 3h to 1" H > 1' Floor____ Floor____ Debris: 0 No Visible/Fine Layer Dn to 1' Debris: 0 No Visible/Fine Layer % to 1" HZI 0> 1' 1'

Comments C1(

Date: S 1 12002 Inspection Team: Name: '' Agency: Name: Agency:

NYC-WTC 000126124