WTC debris inspection form, 144 Fulton Street, undated

NYC 9/11 Public Portal Document

WC Visual Survov Form Premise Address: FJt Block: Lot Residentia!J2 Commercial Mix Use OtherlJ ci Name of Building: # of Stories: AKA's: Building Owns, ana a nt Telephone Number ( ) Name: FAX Address: On Site Contact Namd: ' ' 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 9 No Locations: Copies of All Reports and Data Requested J Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ YesDNo No Visible/Fine Layer i4 to 1' >1' South ❑ N/A No Visible/Fine Layer 83010 QYesDNo S4to1' East 9 N/A 13 Yes ❑ No No Visible/Fine Layer DAto1' >1' West N/A 9Yes9No No Visible/Fine Layer ❑'h to 1' 831.1' Facade Description: A

Roof Debris: Visible one Layer . .❑ % to 1' 9>1" Description: 5 l 10

Setbacks N/A( Floor:___ . Debris: No Visible/Fine Layer % to 1' 1J> 1' Floor:___ Debris: No Visible/Fine Layer i4 to 1' >1' Floor:___ Debris: No Visible/Fine Layer '/4 to 1' > 1' Floor:_,_ Debris: No Visible/Fine Layer % to 1' >1' Floor:___ Debris: No Visible/Fine Layer 'A to 1' > 1' Comments,

Date: Inspection Team: Name: Agency: Nam: Agency:

NYC-WTC 000128078