WTC exterior inspection form, 118 Fulton Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form BN*100120S Premise Address:

Block: 18 118 Fu 14Un Residential 0 Commercial 0 Name of Building: Lot: Mix Use I 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 j Yes

Visual Inspection Results: Facade: Inspected Debris It,atoi" t North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer to 1" ❑> 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer to1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer tot" ❑>1" Description:

Setbacks N/A 0 Floor Floor. Floor Floor. Va Va Debris: ❑ No Visible/Fine Layer ❑ to 1" Debris: ❑ No Visible/Fine Layer ❑ %a to 1" Debris: ❑ No Visible/Fine Layer ❑ % to 1" Debris: ❑ No Visible/Fine Layer ❑ to 1" ❑ > 1" ❑ > 1" ❑ > 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1"

Comments

Date: C2 / fl /20U2 R P Inspection by: Name: Agency: QEP Name: Agency:

NYC-WTC 000128921