WTC environmental inspection form, 179 Duane Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10n_7-7-7,J • Premise Address:

Block: ) LJ 3 Residential Commerciallj a of Building: Lot: SG' - Mix Use Other - N7/7 # of Stories: AKA's: j 77 - 7 1 vice~yu Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site' Contact Name: Tele hone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up 0 Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring 0 Yes ❑ No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: In acted bris North ❑ N/A ' -es ❑ No No Visible/Fine Layer ❑ % to 1' ❑ > 1" South ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1' 0>? East ❑ N/A ❑ Yes ❑ No ❑ No Visibie/Fine Layer D>1 ❑ % to l' West ❑ N/A D Yes ❑ No Q No VisiblelFine Layer ❑Y:to 1 0>? Facade Description:

Roof

Debris: fNNo Visible /Fine Layer .0 % to 1' 9> 1'

Setbacks N/A r] Floor: Debris: ❑ No Visible/Fine Layer ❑ h to 1' 0>1. Floor Debris: 0 No Visible/Fine Layer ❑ % to 1' L] > 1' Floor Debris: ❑ No Visible/Fine Layer ❑ h to? 0>? Floor Debris: r] No Visible/Fine Layer Floor % to 1' Debris: ❑ No Visible/Fine Layer H i4 to 1' 8 > 1' >1' Comments

Date: S //12002 Inspection Team: Name: (i9i' C Agency: T E B E `l' ` Name: Agency: N

NYC-WTC 000130683