WTC exterior inspection form, 114 Fulton Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form RIll* 100110'? II (o iu I.}on Premise Address: _+ 5 reef Block:lg q Residential 0 Commercial 0 Name of Building: Lot:'7501 MixUseD 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 Yes

Visual inspection Results: Facade: Inspected bras North ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer F]'/ to 1" 0>1" South ❑N/A ❑Yes❑No o Visible/Fine Layer ❑ % to l" 0>1" East ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑ % to 1" 0> 1" Facade Description:

Roof

Debris: Visible /Fine Layer ❑ % to 1" 0>1" Description:

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

- - i Inspection by: Name: AP Agency: DEP Name: Agency:

NYC-WTC 000128886