Asbestos Inspection Form, 94 Fulton Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 94 4 U .-tow S-reE€T Block: Kesidential j Commercial 0 Name of Building: Lot: Mix Use ® Other ❑ # of Stories: AKA's: Building Owner/Management: Telephone Number. (2 i z) -r -r90 -72.95 Name: [3eac e1w2.0 m 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 Kesuits: Facade: Inspected Debris North ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer ©Ato 1" 0>1" South ❑ N/A © Yes ❑ No No Visible/Fine Layer ❑Y2to1" 0>1" East ❑ N/A I Yes ❑ No No Visible/Fine Layer ❑%zto 1" 0>1" West ❑N/A EYes❑No No Visible/Fine Layer [:]'/ to 1" 0>1' Facade Description:

Roof

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

Setbacks N/A ❑ Floor: zt 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 ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /z to 1" ❑ > 1"

Comments

Date: 10 / 10 /2002 Inspection Team: Name: DA /A020 Agency: YC PEP Name: Agency: tNTERE3

NYC-WTC 000127644