WTC facade inspection form, Duane Street, 2002

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Io7ce9 PFeiAise Address: /34 W sI Block ff C Residential 0 Commercial D Name of Building: Lot: Mix Use Other # of Stones AKA's: Building Owner/Management: Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: - ' .. Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes Q No Locations: ACM Clean Up Q Yes 0 No Locations: Air Monitoring J Yes [J No Locations: Copies of All Reports and Data Requested Yes

Visual insDection KesultS: Facade: Inspected Debris North O N/A D Yes D No' 0 No Visible/Fii~e4 r D'A to l" 0>1" South ❑ N/A Yes ❑ No No Visible/Fir ❑%to l" 0>1" East ON/A DYesDNo Q No Visible/Fine Layer ❑htol" 0>1" West ❑N/A 0Yes0No ❑ No Visible/Fine Layer ❑%to l" 0>1" Facade Description:

Roof

Debris: El No Visible !F" ❑ 6 to l" [] > 1" Description:

Setbacks N/A 14 Floor: Debris: ❑ No Visible/Fine Layer ❑'%s to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ A to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer [] % to 1" ❑ > 1" Floor. Debris: [] No Visible/Fine Layer Q'% to 1" ❑ > 1" Comments

Date: 4/ _12002 Inspection Team: Name: Q Yt Agency: ie Name: Agency:

NYC-WTC 000126190