Asbestos inspection form, 64 Fulton Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form C D Premise Address: 641 FU t.'TO N STP~~T Block: 'r6 Residential 0 Commercial J Name of Building: Lot: I Mix Use D Other # of Stories: AKA's: Building Owner/Management Telephone Number. (21z) 964-2000 Name: Couwwt Cw8 '.' -Y FAX: Address: c A c --roN s -rrz~E-t- NY my 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 Requested j Yes

VisualInspectlon Results: Facade: Inspected Debris North ❑ N/A ® Yes ❑ No ® No Visible/Fine Layer ❑14to1" 0>1"- South ❑ N/A Yes ❑ No No Visible/Fine Layer ❑34to1" 0>1" East ❑ N/A Yes ❑ No ® No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑' to 1" 0>1" Facade Description:

Debris: ® No Visible /Fine layer ❑htoI"" 0>1" Description:

Setbacks NIA Floor: Debris: ❑ No Visible/Fine Layer ❑ 14 to 1" ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer [] % to? 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 14 to 1' 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 1 to 1" ❑ > 1" I Comments

Date: = 102 /2o02 inspection Team: Name: 7)A / P020 Agency: NYC PEP Name: Agency.

NYC-WTC 000129316