WTC asbestos inspection form, 100 Fulton Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1 0 0 11 g 2 Premise Address: 13~ V vl )l c lm1 Fre -I ~e Block: $ Residential 0 Commercial 0 Name of Building: Lot: Mix Use D OthertJ # 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

visual inspection Results: Facade: Inspected ris North ❑ N/A ❑ Yes ❑ No o Vsible/Fine Layer ❑ % to 1" 0>1" South ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑Vto1" 0>1" East ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑%to1" 0>1" West ❑ N/A ❑ Yes ❑ No f o Visible/Fine Layer 0 1/2 to1" 0>1" Facade Description:

I Roof

Debris: ELNo Visible /Fine Layer ❑ % to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

Date: / 17 12002 Inspection by: Name: AP Agency: DEP Name: Agency:

NYC-WTC 000110538