Visual inspection form for 188 Duane Street facade and setbacks

NYC 9/11 Public Portal Document

1 WTC Visual Survey Form ' remise Address: ks -i i s

Block: Residential Commercial 0 Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: 1 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 Visible/Fifle-Layer D'/tor 0>1" South N/A fl Yes ❑ No D No Visible/Fine Layer ❑v2to1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑/2to1" ❑>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2to1" 0>1" Facade Description:

Roof

Debris: No Visible IFinc Layer ❑%to1" 0>1" Description:

Setbacks N/AX Floor. Debris: ❑ No ViSible/Fine Layer 0'/2 to 1" ❑ > 1" Floor. Debris: ❑ No VSible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 1/2 10 1" ❑ > 1"

Comments

Date: - /x/2002 Inspection Team: Name: ..Q fm Agency: D1 P Name: Agency:

NYC-WTC 000130750