WTC debris inspection form, 142 Fulton Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Prep ise Address: Stock: I Residential ri CommercialiJ Name of Building: Lot I Mix U Other # of Stories: I AKA's: Building Ow r/M Telephone Number Name: FAX: Address: On Site Contacts Name: S Telephone Number. Building Owner Management Activities Interior Survey Performed J Yes No Exterior Survey Performed Yes No General Clean Up J Yes No Locations: J ACM Clean Up DYes J No Locations: Air Monitoring DYes J No Locations:Copies of All Reports and Data Requested JYes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A QYes No No Visible/Fine Layer 34 to 1' > 1' South ❑ N/A Q Yes No No Visible/Fine Layer i4to1' >1' East West R N/A N/A Facade Description: fi Yes No Yes No n No Visible/Fine Layer fto1' No Visible/Fine Layer 0%to1' >1' 0>1'

Roof Debris: No Visible one Layer •D3 to 1' ❑ > 1' Description:

Setbacks N/An Floor___ Debris: No Visible/Fine Layer % to? 0>1' Floor:___ Debris: No Visible/Fine Layer 34 to 1' >1' Floor Debris: No Visible/Fine Layer 34 to? a? Floor____ No Visible/Fine Layer 34 to 1' > 1' Floor Debris: No Visible/Fine Layer % to V H30 1'

Comments 1

Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000128035