Asbestos inspection form, 49 Fulton Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form ) 0O1igo Premise Address:

Block: q Residential Commercial LI I Name of Building: Lot: j Mix Use ❑ Other ≥s7.es oF -c;;-. # of Sto les: AKA's: Building Owner/Management: Sit /V7o,.r l-AvFe Telephone Number: (2/2_) -7(,G $) 2.2- Name: it / FAX: ( ) Address: 1c3n On Site ----------------------------------------------------- Name: Pl l Telephone Number:; P11 Interior Survey Performed ❑ Yes [ No Exterior Survey Performed ❑ Yes ® No General Clean Up EYes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring RYes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Kesuits: Facade: Inspected Debris North ❑ N/A ® Yes ❑ No [Zf No Visible/Fine-Layer ❑ Y2 to 1" South ❑ N/A ® Yes ❑ No No Visible/Fine-Layer ❑ % to 1" East ❑ N/A ,0 Yes ❑ No No Visible/F a-Layer ❑ / to 1" West ❑ N/A ® Yes ❑ No ] No Visible%Fine-Layer ❑ % to 1" Facade Description:

Roof

Debris: No Visible ❑ %2 to 1" ❑ > 1" Description: s

Setbacks N/A ~( , Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1"

Comments

Date: 2 /61 /2002 Inspection Team: Name: X2.9 t oG► Agency: J P Name: Agency:

NYC-WTC 000129269