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Document / 2 pages

WTC inspection form, 40 Fulton Street area, Oct 2001

Machine-extracted title · confidence 90%

Inspection form recording facade and ACM status for the specified block.

NYC-WTC_000129206–000129207

Folder label: “40 FULTON STREET 1075618, 75/21

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NYC 9/11 Public Portal Document

WTG Visual Survey Form Premise Address: 4o G-re -r' FULION Block: -is Residential JJ Commercial jJ Name of Building: Lot: i Mix Use p Other # of Stories: z AKA's: Building Owner/Management 40 ,-u.-r e u.c Telephone Number ( . ) 269.-81-- I Name: rAec MA"AGeM~ S r i.Lc. 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: R00c svV.F s /moo ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

vlsual-lnspection Results: Facade: Inspected Debris North ❑ N/A El Yes [] No ® No ViSible/Fine Layer ❑ 1/ to 1" 0>1" South ❑ NIA ® 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 ❑ % to V ❑ > 1" Facade Description:

Roof

Debris: ® No Visible /Fine Layer ❑ h to 1" " " ❑ > 1" Description: NCB w -rr. ?»812 IS 0BSEPVE >

Setbacks N/A ❑ Floor. - Debris: ® No Visible/Fine Layer 0 h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0V to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to V 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor Debris: ❑ No Visible/Fine Layer ❑% to 1" 0>1" Comments

Date: [/«/2tO2 Inspection Team: Name: `D A / Ao2 o Agency: WC 'oEP Name• Agency:

NYC-WTC 000129206

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NYC-WTC_000129206Source: NYC Law Department, mirrored locally

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