WTC exterior inspection form, 127 Fulton Street, undated

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WTC Visual Survey Form .

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P{eiPhtse Address: ree+ Bloc : Residential 0 Commercial Name of Building: Lot: Mix UseD Other # of S es: AKA's: Building Owner/Management h/1 4. 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 ❑Y to 1" 0>1" South ❑ NIA ❑Yes ❑ No No Visible/Fine Layer ❑Yzto1" 0>1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑/2to1" 0>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ to1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer )eY2 to 1" 0>1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % 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 L]'/a to 1" ❑ > 1" Comments

Date: c9 /1/2002 Inspection by: Name: AP Agency: DEP Name: Agency:

NYC-WTC 000127971