WTC visual survey form, Duane Street area, 2002

NYC 9/11 Public Portal Document

•. ' ewe WTC Visual Survey Form Premise Address:

Block: Residential Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: 5 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 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 No Visible ' r ❑ % to l" 0>10 South ❑ N/A ❑"Yes ❑ No ❑ No Visible ❑ % to l" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/s to 1" 0>1" West ❑N/A OYes❑No ❑ No Visible/Fine Layer 014t01" 0>10 Facade Description:

Roof

Debris: No Visible ❑ % to 1" 0>10 Description:

Setbacks N/A s Floor Debris: 0 No Visible/Fine Layer 014 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 014 to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ h to 1" 0> 1" Floor. Debris: No Visible/Fine Layer ❑% to 1" ❑ >V Floor: Debris: H No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: 5 1 /2002 Inspection Team: Name: ~_f__ `_t Agency: ..~)sP. Name: Agency: ENTERED

NYC-WTC-000126138