WTC site inspection form, 174 Duane Street, 2002

NYC 9/11 Public Portal Document

S 11 WTC Visual Survey Form /06ISD Premise Address: • Block: Residential Commercialfl Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building Owner anagement: 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 RequestedD Yes

Visual inspection Results: Facade: Inspected Debris North /A ❑ Yes ❑ No o Visible/Fine Layer ❑to1" ❑>1" South East West fl N/A N/A I N/A Facade Description: jJ es ❑ No FyIesE] No L] Yes ❑ No e o Visible/Fine Layer ❑%to 1" ❑> 1" o Visible/Fine Layer ❑Atol" 0>1" ❑ No Visible/Fine Layer ❑%tol" 0>1"

Roof Debris: No Visible !Fine Layer .❑

% to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor Debris: No Visible/Fine Layer ❑'% to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer ❑ % to 1" 0>1" Floor.___ Debris: No Visible/Fine Layer % to 1" 0>1" Floor Debris: 0 No Visible/Fine Layer % to 1" > 1" Floor. Debris: ❑ No Visible/Fine Layer fi to 1" H>Ift

Comments

Date: 5 !1!2002 Inspection Team: Name: L Agency: Name: Agency: NTEREO°

NYC-WTC 000127493