WTC facade inspection form, Duane Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form /oOf2(3 Pr0rilse Address: It DU N Block: ` Residential D Commercial J Name of Building: Lot: i Mix Use Other # of Stories: AKA's: Building Owner/Management: Telephone Number.( ) Name: FAX: Address: On Site Contact: Name: rr z Telephone Number:; Pl l Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes [] No Locations: ACM Clean Up ❑ Yes [] No Locations: Air Monitoring Q Yes D No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes❑No No Visible/E el1ayee O1A to 1" South N/A Yes©No No Visible/Fine-Layer [J 1/2 to 1" East N/A Yes❑No No Visible/FineLeyer O'h to 1" West N/A 33 Yes[] No No Visible/F4ne-Layer [] Va to 1" Facade DeSnption:

Roof ❑ % to 1" Debris: Description: R No Visible /Fine-taer ry

Setbacks N/A,J Floor: Debris: ❑ No Visible/Fine Layer []'% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer O % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 V2 to 1" ❑ > 1" Floor: Debris: ONo Visible/Fine Layer 0 % to 1" ❑ > 1"

Comments

Date: / /2002 Inspection Team: Name: .jam -- Agency: ,, ' Name: Agency: N T E R 0

NYC-WTC 000126140