Asbestos Inspection Form, 94 Fulton Street, Oct 2002

NYC 9/11 Public Portal Document

f r. WTC Visual Survey Form I 07 q~ 10 Premise Address' i( Block: 77 Resid ntialD Commercial F- --- Name of Building: Lot: j 0 Mix Use D 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 ❑ % to 1" 0>1" South ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" East 0 N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ Va to l" 0>1" West ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ 14 to 1" 0>1" Facade Description: . w+:'' eh

V Roof "t

Debris: Visible /Fine tayer ❑ % to 1" 4 0>1" I ; Description: o

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %s to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" n>16 Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" ❑ > 1"

Comments

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Name: Agency:

NYC-WTC 000127648