WTC facade inspection form for commercial building, Duane Street, 2002

NYC 9/11 Public Portal Document

10O(6OS i

WTC Visual Survey Form remise Address:

Block: r Residential 0 Commercial 0 Name of Building: Lot: 7 5 Mix Use - Other # of Stories: c; 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 ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

visual Inspection Results: Facade: Inspected Debris Q °Yes ❑ No North South East ❑ N/A ❑ N/A Q`N/A ayes ❑ No ❑ Yes Q No ' No Visible No Visible t r

❑ No Visible/Fine Layer ❑Ytol" ❑ % to 1" ❑%to1" 0>1" 0>1" 0>1" West SN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

I Roof

Debris: 0 No Visible -i._ ❑ Ya to 1" 0>1' Description:

Setbacks N/APJ Floor: Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to V ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

I Comments

Date: /1/2002 Inspection Team: Name: ZJii NV UI Agency: VP Name: Agency:

NYC-WTC 000126154