WTC inspection form, 138 Fulton Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form I no Premise Address:

Block: 1 g Residential 0 Commercial 0 Name of Building: Lot: Mix Use J J Other # of S o es: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: " * Telephone Number: Building Owner Management Activities Interior Survey Performed 3,Yes ❑ No Exterior Survey Perfo Yes ❑ No General Clean Up es OJIo Locations: ACM Clean Up ❑ Yes j No Locations: Air Monitoring ❑ Yes ai No Locations: Copies of All Reports and Data Requested J Yes

Visual inscection Results: racaoe: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y:to 1" 0>1' South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'h to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" Facade Description: Q~~

çQ Roof ` Debris: o Visible /Finetyer ❑ % to 1" 4 ❑ > 1" Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: / Q.AO02 Inspection Team: Name: Agency: Name: Agency:

I NYC-WTC 000127981