WTC debris inspection form, 92 Fulton Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form IOOttQI J emise Address:

Block: 7 7 Residential 0 Commercial 0 Name of Building: Lot: Mix UseD Other # 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 0 Yes

visual inspection Kesults: Facade: Inspected Debris North [] N/A ❑Yesj]No ❑ No Visible/Fine Layer ❑ Ya to l" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A ❑Yes❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ %s to 1" ❑ > 1" Facade Description:

Roof I Debris: ❑ No Visible /Fine Layer ❑ V to 1" 1 A."4 0>1" Description:

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

I Comments

Date: , / ` -/2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000127543