WTC debris inspection form, 144 Fulton Street

NYC 9/11 Public Portal Document

{ WTC Visual Survey Form 10 0 a ~~ Premise Address: L *- + 4- - Block: 1 a Residential 0 Commercial 0 Name of Building: Lot: ç Mix UseD 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 0 Yes

visual Inspection Results: Facade: Inspected Debris North ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 34 to 1" 0>1" Facade Description:

vjst; u 1 Debris: ❑ No Visible /Fine Layer ❑%to 1"99 -4--vl 0>1" Description:

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to I" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

e: / 'Z 12002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000128080