WTC facade inspection form, 106 Fulton Street

NYC 9/11 Public Portal Document

WTC Visual Surrey Form Premise Address:t J F r1 to- Block: Residential D Commercial Name o u Id n~: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Managem nt: Telephone Number: ( ) Name: ) A'~' ~ht vt r-s FAX: Address: On Site Contact: , + '• ,- Name: " ' ) ('4 r O Building Owner Managem nt A vities c I-t Telephone Number: )

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 Yes

Visual Inspection Results: Facade: Ins ected Debris North ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer - /2 to 1" South ❑ N/A D Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 34 to 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer 0%to1" 0>1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 036 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 ❑ % to 1" ❑ > 1"

Comments Al

Date: / /2002 Inspection Team: Name: L " `" Agency: Uc ' Name: Agency: ENTERED NYC-WTC 000128687