WTC facade inspection form, Duane Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: /22 Dine S reet Block J5V Residential 0 Commercial fJ Name of Building: Lot: l 5 Mix UseD Other # of Stories: AKA's: / 7f - /43 ct. - Building OwneNManagement.j,,, ,, , / ms s Telephone Number (2iz-) qj - ~s 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 0 Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested DYes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A , 'Yes 0 No No Visible er ❑ % to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No 0 No Visible/Fine-lyer ❑ % to 1" ❑ > 1" East [] N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0114t01" [:)>l" West ❑ N/A ❑ Yes ❑ No &z1No Visible/F.iae Layer ❑ % to 1" [3> 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer % to 1" [3> 1" Description: cS6z4 c4 i d -w .

Setbacks N/AI Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" [3 >1. Floor: Debris: ❑ No Visible/Fine Layer 0 Va to 1' ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 0 h to 1' ❑ > 1" Floor. Debris: No Visible/FineLayer 0 Va to 1' ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 0 %a to 1" 0> 1' Comments

Date: 5 /x/2002 inspection Team: Name: If'AM Agency: DP Name: Agency: R

NYC-WTC 000126145