WTC building inspection form, 55 Fulton Street

NYC 9/11 Public Portal Document WTC Visual Survey Form 1o5tIk~U~? b remise Address: 9p 6 FED SrREE T áJ # 7 Block: gLf Residential CommercialEJ Name of Building: Lot: I Mix Use D Other # of Stories: AKA's: Building Owner/Management: S m Telephone Number. (2i z) 2 &I-1 - &qa Name: j or Lo . FAX: Address: On Site Contact Name: "A 'e, cu Kk . Telephone Number: Building Owner Mana ement Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up EYes ❑ No Locations: va.'i ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring f R Yes L] No Locations: van-Pays Copies of All Reports and Data Re uested Yes

visual inspection Kesuits: Facade: Inspected Debris North ❑ N/A 'Yes ❑ No J No Visible/Fine Layer ❑ 1/ to 1" 0>1" South ❑ N/A EYes ❑ No 2 No Vsible/Finoe ~r ❑'h to 1" 0>1" East ❑ N/A 0 Yes ❑ No ® No Visible/Firte-tàyer ❑'/ to? [3>1" West ❑ N/A f Yes ❑ No ® No Visible/Finc Layer ❑ 1/2 to 1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine-Sayer ❑to1" []>1" Description:

Setbacks N/A Floor. Debris: ❑ No ViSible/Fine Layer ❑'%2 to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1' ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer [31/2 to 1' ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'!to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer 034 to 1" 0> 1" Comments

Date: 2 1.14 Inspection Team: Name: ('- 'n rnoh Agency: .vEP Name: Agency:

NYC-WTC 000128190