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

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1Q0 1 X56 Premise Address:

Block:`I4 Residential 0 Commercial J Name of Building: Lot: Q Mix Use 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 0 Yes Q No Exterior Survey Performed ❑ Yes ❑ No General Clean Up 0 Yes 0 No Locations: ACM Clean Up Yes [j No Locations: Air Monitoring [] Yes Q No Locations: Copies of All Reports and Data Requested Yes

visuals inspection KesuIts: Facade: Inspected North 0 N/A Yes Q No No Visible1t b O14to1' 0>1* South E N/A 8Yes0No O No Visible/Fine Layer 0'/:to 1' D>1 East j `N/A 0 Yes Q No O No Visible/Fine Layer DY2tol* 0>1* West (3N/A 0Yes0No O No Visible/Fine Layer j]/ato1" 0>1' Facade Description:

Roof

Debris: E"No Visible IF `ta i' ❑ Ya to 1' 0>1* Description:

Setbacks N/A 0 Floor, ___ Floor Debris: Q No Visible/Fine Layer ❑ 14 to 1' Debris: ❑ No Visible/Fine Layer ❑ 14 to 1 0> 1' 0> 1' Floor: Debris: 0 No Visible/Fine Layer ❑ y4 to 1' 0> 1' Floor Debris: No Visible/Fine Layer [] 4 to 1' 0> 1' Floor. Debris: 0 No Visible/Fine Layer 014 to 1* ❑ > 1'

Comments

Date: ~ Inspection Team: Name: 44- 4 4a4LArJ Agency: V1. E NT ERE O Name: Agency:

NYC-WTC 000126150