WTC debris inspection form, 92 Fulton Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form I l)0I 1 10 P miss Address:

Block: Residential Commercial EJ Name of Building: Lot: j. . Mix Use 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 J Yes visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer ❑ Yz to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E]% to 1" 0>1" East ❑ N/A Q Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" [J> 1" West ❑ NIA ❑ Yes Q No ❑ No Visible/Fine Layer 034t01" 0>1" Facade Description: _ _ A A A

Roof Wsav Debris: ❑ No Visible /Fine yer ❑ %2 to 1" 4cif ❑ > 1" Description:

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: Q No Visible/Fine Layer 0 34 to 1" ❑ > 1"

Comments k 1~ .la-r ~.~ ~,~

Date: /-/2002 Inspection Team: Name: '. _- Agency: Name: Agency:

NYC-WTC 000127586