WTC facade inspection form, 100 Duane Street, 2002

NYC 9/11 Public Portal Document

4 WTC Visual Survey Form 100(6 c(7 Premise Address: r

Block: / 0 Residential 0 CommercialD Name of Building: F$Mi Lot: 2. Mix Use fl Other p , 7 c dIey / # of Stores: AKA's: Buliding 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 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up 0 Yes 0 No Locations: Air Monitoring 0 Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Insoection Results: Facade: Inspected Debris North ❑N/A Yes❑No ® No Visible '14to1" ❑ >1" South N/A f Yes ❑ No ® No Visible er ❑Mato 1" 0>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer /ito 1" 0>1" West f NIA 0 Yes ❑ No F] No Visible/Fine Layer '/:to 1" 0>1" Facade Description:

Roof

Debris: ' No Visible F]% to 1" Description:

Setbacks N/A Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" > 1' Floor. Debris: 0 No Visible/Fine Layer ❑ 34 to 1' 8.1* 1' Floor Debris: 0 No Visible/Fine Layer O 4 to 1" ❑ > 1" Floor Debris: [] No Visible/Fine Layer Y: to 1" > 1' Floor. Debris: 0 No Visible/Fine Layer to 1" H>111

Comments

Date: 4.I L „12002 Inspection Team: Name: Name: R iE,4 Agency: Agency: ,

ENTERED

NYC-WTC 000126211