Visual inspection form for 185 Duane Street facade and floors

NYC 9/11 Public Portal Document WTC Visual Survey Form Premise Address:

Block: ' ds Residential Commercial f J Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: —r z FAX: Address: 1 On Site Contact: Name: • Telephone Number: Building Owner ManagementActivities 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 Re uested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to 1" 0>1" South J N/A j Yes ❑ No O'No Visible/Fine Layer 0'% to 1" 0>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%toV ®>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Mato 1" 0>1" Facade Description:

Roof

Debris: No Visible ❑'/ to 1" ❑ > 1" Description:

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

Comments

Date: /2 /2002 Inspection Team: Name: I~n-rM_ i)d ,_ Agency: E T Name: Agency: REO

NYC-WTC 000130746