WTC visual survey form, Duane Street, 2002

NYC 9/11 Public Portal Document vv i c visual survey Form f 3remise Address: 1 N Block: U Residential Commercial Name of Building: Lot: i 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 ❑ 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 North ❑ N/A Yes ❑ No No Visible/Fine±ayer ❑ % to 1" ❑ > 1" South N/A D Yes ❑ No D No Visible/Fine Layer ❑ % to 1" ❑ > 1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Facade Des ription:

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description: y r~

Setbacks N/AV 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 ❑ %a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to? ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑%:to 1" ❑ > 1"

Comments

Date: 5 //2002 Inspection Team: Name: L) Agency: OE F Name: Agency:

NYC-WTC 000126195