Asbestos inspection form, 40 Fulton Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form t 07i'( 18 Premise Address: 4-® ) L?'D 14 Si2 r Block: 7 Residential 0 Commercial f Name of Building: Lot: 1 Mix Use J Other # of tories: .7-,7 AKA's: Building Owner/Management: Telephone Number. (2!2-) 26q _917 j Name: FAX: Address: On Site Contact: Sr., tv 4. Name: LC 8$ / N Telephone Number: Building Owner Management Activities Interior Survey Performed ER Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up EYes ❑ No Locations: y,a- S ACM Clean Up ❑ Yes No Locations: Air Monitoring &Yes ❑ No Locations:_ I NT -P- o L Copies of All Reports and Data Requested Yes

visual inspection @subs: Facade: Inspected Debris North NIA J Yes ❑ No ®'No Visible/Fine Layer ❑ % to 1" ❑ > 1" South EJ N/A Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ZYes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A Yes ❑ No f, No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description: .VA4A.DE GL -.6A14-1

Roof 31 L

Debris: JgNoifisibte /Fine Layer [y % to 1" ❑ > 1" Description:

'~ sj Setbacks N/A ❑ 3o G'" "f '~ Floor: , Debris:,~lo Vsible%E.in ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" n> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: [] No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments Cds?2a0lAt- Aacs, s orz? D /nK- RAG

Date: 2. / 1x_/2002 Inspection Team: Name: /Z• /2A-r) frz t &/ Agency: .DEP. Name: Agency:

NYC-WTC 000129212