Visual inspection form for 183 Duane Street facade and setbacks

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential Commerciatfl Name of Building: Lot: Mix Usefl Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact Name: " * -. ON C- 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: In petted qbris North ❑ N/A Yes 0 No o Visible/Fine Layer ❑ Vs to 1" ❑ > 1" South ❑ N/A Yes ❑ No o Visible/Fine Layer 0 % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visibie/Fine Layer ❑ Va to 1" 0>1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ V2 to 1" ❑> V Facade Description:

Roof

Debris: No Visible /Fine Layer .❑% to 1" [J> 1" Description:

Setbacks N/A[] Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1. Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" 0>1' Floor. Debris: ❑ No Visible/Fine Layer 9 V to 1" 0>1' Floor. Debris: ❑ No Visible/Fine Layer 9 Va to 1" 0>1. Floor. Debris: ❑ No Visible/Fine Layer Va to 1" 0>1. Comments

Date: / 1 /2002 Inspection Team: Name: Cam. Agency: Name: Agency: ENTE

NYC-WTC 000130728