WTC exterior inspection form for 120 Fulton Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 3f44* 1001207 Premise Address: i0 0 F U I+ O I ree-~ Block: IS ResidentialD Commercial Name of Building: Lot: 4 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 Yes visual Insoection Results: Facade: Inspected Debris North ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer % to 1" [J>1" South ❑ N/A ❑ Yes ❑ No ❑ No ViSible/Fine Layer % to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Y to 1" 0>1" West ❑ N/A ❑Yes 0 No ❑ No Visible/Fine Layer IA to 1" ❑ > 1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No ViSible/Fine Layer ❑ 34 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

Date: cV /1_/2002 Inspection by: Name: _ {\ P Agency: EP Name: Agency:

NYC-WTC 000128957