Asbestos inspection form, 64 Fulton Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form t OO $7S Premise Address: &'4fr 4-7ta^° Snn.15 -r Block: 7 Residential j Commercial j J Name of Building: Lot: 1 Mix User Other # of Stories: I ) AKA's: Building Owner/Management: W/ LL, Am / C4 .w 4Teiephone Number: (2/ 2-) b Ii Z Name: FAX: ( ) Address: & &'-- i 1 O3.t. On Site Contact: Name: - ' jco Fl sttc s - ,g5: Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ ❑ No Locations: Yes

ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ® Yes ❑ No ®' No Visible/Fine-Layer ❑%to 1" 0>1" South ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑ 1/to1" 0>1" East ❑ N/A [ Yes ❑ No No Visible/Fine-layer ❑'/2to 1" 0>1" West ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Roof

Debris: *d a 'Y2 to 1" ❑ > 1" Description:

Setbacks NIA J ' Floor: Debris: [] No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: Q No Visible/Fine Layer ❑ ½ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer fl / to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 2 / /c /2002 Inspection Team: Name: L. 1z ¢T o /-'1W Agency: _7EP Name: Agency:

NYC-WTC 000129317