WTC exterior inspection form, 122 Fulton Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10012b : Premise Address: 1 Block: 7 a0 Fu Residential 0 I o n 6fr-ee CommercialD Name of Building: Lot: MbWsep 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 RequestedD Yes

visual inspection Results: Facade: Inspected Debris North South East ❑ N/A ❑ N/A ❑ N/A ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer K tot" Y2 to 1" ❑ No Visible/Fine Layer ❑%to 1" ❑>1" 0>1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑Va to 1" ❑ > 1" Comments

Date: 2/ 17 /2002 Inspection by: Name: /\ P Agency: Dt P Name: Agency:

NYC-WTC 000129008