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WTC Visual Inspection Form, 77 Fulton Street, undated

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Visual inspection form for facade and debris at 77 Fulton Street documenting ACM and air monitoring status.

NYC-WTC_000129362–000129363

Folder label: “77 FULTON STREET BN# 1083353”

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NYC 9/11 Public Portal Document WTC Visual Survey Form 10z33S3 • ►'rirnise Address:

Block: g Residential Commercial 0 Name of Building: Lot: Mix Use 9 Other # of Stories: AKA's: Building Owner/Management:Sow. ,14 1fli,t Telephone Number. ( 2.12-) =6-i- bl90 Name: Torj 4o. FAX: Address: On Site Contact Name: •A 'e c,~€r /K'ha..,, ,4+4 S, Telephone Number: Building Owner Manadement Activities Interior Survey Performed [] Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up EYes ❑ No Locations: voJ.-, ACM Clean Up ❑Yes ❑ No Locations: Air Monitoring j$'Yes j] No Locations: vacvt.'s Copies of All Reports and Data Re uested Yes

visual inspection Kesuits: Facade: Inspected Debris North [] N/A EYes ❑ No j~'No Visible/Fine Layer p/ato1" 9>1" South ❑ N/A OYes ❑ No j No Visible/ etaydr 034t01" 0>1" East ❑ N/A 0 Yes ❑ No ® No ViSible/Pini=tayer 034t01" 0>1" West ❑ N/A 'Yes ❑ No No Visible/FM-Liyeer []%to1" 0>1" Facade Description:

Roof

Debris: Ig No Visible /Fine-Eager to 1" 9>1" Description:

Setbacks N/A 0 • Floor: Debris: 0 No Visible/Fine Layer (] % to 1" 0>1" Floor: Debris: 0 No Visible/Fine Layer '4 to 1" 0> 1" Floor: • Debris: ❑ No Visible/Fine Layer ❑ h to 1" 0> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ 4 to 1" 9>1" Comments

Date: Z /14/2002 Inspection Team: Name: Agency: N C DEP• Name: Agency:

NYC-WTC 000129362

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NYC-WTC_000129362Source: NYC Law Department, mirrored locally

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