Visual inspection form for 183 Duane Street facade and setbacks

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10015 `fl Premise Address:

Block: i4 Residential 0 Commercial D Name of Building: Lot: I Mix Use Other ©& ANWf tti . # of Stories: AKA's: Building Owner/Management: 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 Requested ® Yes

v,suai inspection Kesuwts: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" South ® N/A ® Yes ❑ No No Visible/Fine-Lays! ❑ % to 1" 0>1" East 1J N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer J J % to 1" ❑ > 1" Description: MJI j 1 -2Ijp42 L"£. - "i 4 jh a , Li k

Setbacks N/A, Floor. Debris: ❑ No VSible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 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 ❑ % to 1" ❑ > 1"

Comments

Date: /2'/2002 Inspection Team: Name: Rim 4. .!®, naab Agency: Name: Agency: EWT EREQ NYC-WTC 000130732