WTC facade inspection form, 179 Duane Street, undated

NYC 9/11 Public Portal Document

/ Ic_7iLI O WTC Visual Survey Form remise.,Address: 179 OU- E 5T [188lock: Residential 0 Commercial p Name of Building: Lot: 7S0 2.. Mix Use2j Other # of Stories: 5 AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: 1 QU On Site Contact: Name: ' ' i_ e Telephone Number: ( ) Building Owner Managemeift 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 Visible/Fine Layer ❑'/ to l" 0>1" South N/A Yes No No Visible/Finetyer ❑vatol" 0>1" East N/A DYesDNo No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑'%to l" 0>1" Facade Description:

Roof

Debris: ,~No Visible /Fine Layer Description: ❑ % to 1" ❑ > 1"

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer 034 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: l 2' 12002 Inspection Team: Name: 1?Arw j[)IT?zS7 Agency:OJEP E N T E R E 1' Name: Agency:

NYC-WTC 000130689