Asbestos inspection form, 56 Fulton Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form FA Premise Address:

Block: Residential 0 Commercial 0 Name of Building: Lot: Mix UseD Other fl #of Stories: 4 AKA's: Building Owner/Management:,9,gn4o 44t." -e- Telephone Number: (a/ z) 2..i3 _ c-c, C , Name: ' 'P• FAX: Address: F L fl,,J sf crt3 On Site Contact: Name: ' Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Byes ❑ No Locations: , 19 .f ay ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring 0 Yes ❑ No Locations: Copies of All Reports and Data Requested 0 Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A E[ Yes ❑ No ® No Visible ❑%to1" 0>1" South /A BYes ❑ No ❑ No VSible/Fine Layer ❑Yatol" 0>1" East 'N/A EYes ❑ No No Visible/Fine-Layer ❑%to 1" 0>1" West ❑ N/A ECYes ❑ No ~c] No Visible/Fine Layer ❑Yto1" 0>1" Facade Description:

Roof Debris: CKNo Visible /iris D Ya to 1" 0>1" Description:

Setbacks N/A1. Floor. Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Comments

Date: 2 !x/2002 Inspection Team: Name: 7 'A/- Agency: øbP- Name: Agency:

NYC-WTC 000129303