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Document / 17 pages

WTC exterior inspection form, 127 Fulton Street, undated

Machine-extracted title · confidence 90%

Form documenting facade and roof inspections for visible debris at 127 Fulton Street.

NYC-WTC_000127954–000127970

Folder label: “127 FULTON STREET 1001266, 91/12”

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NYC 9/11 Public Portal Document

WTC Visual Survey Form to 0 1Z 6 Premise Address: I0 Fu Ron5+ree-+ Bloc : Residential ~"' Commercial 0 Name of Building: Lot: Mix Use El Other # of S es: 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 North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑Ytol" 0>1" South ❑N/A ❑Yes❑No No Visible/Fine Layer ❑%tol" 0>1" East ❑N/A ❑Yes❑No No Visible/Fine Layer ❑ Y to l" 0>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%tol" 0>1" Facade Description:

Debris: ❑ No Visible /Fine Layer )% to 1" 0>1" Description:

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer ❑'/to l" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ Y to l" 0>1" Comments

I

Date: Q / 17 /2002 Inspection by: Name: AP Agency: Dt P Name: Agency:

NYC-WTC 000127954

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NYC-WTC_000127954Source: NYC Law Department, mirrored locally

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