WTC exterior inspection form for 122 Fulton Street, 2002

NYC 9/11 Public Portal Document WTG Visual Survey Form Premise Address: j22 FO LTO P STrZE T Block: Residential 0 Commercial Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building Owner/Management JM vD 0 T 2s Telephone Number. ( ) Name: IO pl AVE FAX: Address: On Site Contact m& Cg>t ' '? : A • PLUS$-I At--, '

Name: ' o / 4&. PL%m0 Telephone Number ~i2 5 —4232 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 D Yes

visual inspection Kesults: Facade: !n pected Debris North ❑ N/A EYes ❑ No D.No Visible/Fine Layer h to 1" ❑ > 1".. South ❑ N/A B Yes ❑ No J No Visible/Fine Layer A to 1" ❑ > 1" East 0 N/A No Visible/Fine Layer ❑'/% to 1' ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 2 to 1' 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ,'/s to 1" '' ❑ > 1" Description:

Setbacks N/A ❑ Floor 3 +-c Debris: ❑ No Visible/Fine Layer }4 to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer D4 to 1" ❑ > 1' Floor. Debris: 0 No Visible/Fine Layer ❑ h to 1' ❑ > 1' Floor. Debris: No Visible/Fine Layer ❑ ,4 to 1" r] ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0> 1" I Comments 'F

Date: o6 /x/2002 Inspection Team: Name: T''` Agency: Name: Agency: Af

NYC-WTC 000129001