WTC facade inspection form, 108 Duane Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form loaibV5" .Premise Address: Q,Lry "& Block: Residential O Commercial Name of Building: Lot: ` Mix Use Other # of Stories: ç AKA's: Building Owner/Management: Telephone Number: ( ) Name: e 4 , FAX: Address: On Site Contact: -------------- ---------------------------- Name: i"Yt t Telephone Number: P11 `.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.---.-.-.-.-.-.-.-.-.-.-.-.-.-.-- Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up O Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual inspection Kesuits: Facade: Inspected Debris North ❑ N/A Yes [] No No Visible/Fineter ❑Y2to l" O>1" South N/A QYes ❑ No No Visible/Fine Layer ❑Mato 1" O>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" O>1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" ❑>1" Facade Des ription:

Roof

Debris: No Visible Xinft i aver _ ❑ +/ to 1" ❑ > 1" Description: e-1 . l - z-~nr~ , ~A

Setbacks N/An Floor. Debris: ❑ No Visible/Fine Layer ❑% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑%2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: O No Visible/Fine Layer O % to 1" O> 1"

Comments

Date: 5 /x/2002 Inspection Team: Name: D _ Agency: D Name: Agency:

NYC-WTC 000126203