WTC exterior inspection form, 127 Fulton Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form t oo•t z ,!; Premise Address:

Block: Residential Commercial Na e_ 4luiliing: ' Lot: 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 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0Y2to1" ❑>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [:]%2 to 1" D>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2 to 1" 0>? West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E]Y2 to 1" 0>1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: Inspection by: Name: Agency:W%o VG' Name: Agency:

NYC-WTC 000127974