WTC facade inspection form, 179 Duane Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form [ remise Address: i77 ii r

Block: Residential 0 Commercial J Name of Building: Lot: Mix Use J Other # of Stories: 5 AKA's: Building Owner/Management: Telephone Number ( ) Name: FAX: Address: 7 ua 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 VSible/Fine Layer 0'/ to 1" 0>1" South N/A Yes ❑ No 'No Visible/F4ne Layer ❑ % to 1" [3> 1" East tj N/A Yes ❑ No No Visible/Fine Layer ❑ % to 1" [3 >1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ / to 1" [3>1" Facade Description:

Roof

Debris: A No Visible /Fine-Layer ❑ Yz to 1" 0>1" Description:

Setbacks Floor. ( Debris: ❑ No Visible/Fine Layer ❑'/ to 1" [1> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No VSible/Fine Layer ❑ Ya to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/% to 1" ❑ > 1"

Comments

Date: +/Z12002 Inspection Team: Name: 1iitn 4 fl 1y2 17. Agency:flt 0 Name: Agency: T

NYC-WTC 000130686