WTC visual inspection form for 142 Fulton Street, undated

NYC 9/11 Public Portal Document N

WTC Visual Survey Form 1001 ZZ '4 Premise ddress:

Block: Residential 0 Commercial 0 Name of Building: Lot: Mix Use 0 Other # ofStories: 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 J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A 0 Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Facade Description: n

Roof jV st; ^n>1 " I . Debris: ❑ No Visible /Fine 1..ayer Vato1"•1

Description: N0 KC

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 0 Ya 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 ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Date: 4/ ~ /2002 Inspection Team: Name: '" Agency: Name: Agency:

NYC-WTC 000128037