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WTC Visual Survey Form !D6 13Q0
Premis d~re L 4/
.7
Block: Residential cal alp Na of Building:
Lot Mix Use Other
# of Stories: AKA's:
Building Ow erlMana em nt: Telephone Number.
Name: S LI FAX:
Address:
On Site Contact:
Name: ' .' Telephone Number
Building Owner Management Activities
Interior Survey Performed Q Yes Q No
Exterior Survey Performed Yes ❑ No
General Clean Up ❑ Yes No Locations:
ACM Clean Up ❑ Yes Q No Locations:
Air Monitoring ❑ Yes Q No Locations:
Copies of All Reports and Data Requested p Yes
Visual Insoection Results:
Facade:
Inspected Debris
North ❑ NIA Yes D No ❑ No Visible/Fine Layer 94to1" 0>1"
South ❑ N/A HYesE] No ❑ No Visible/Fine Layer Q % to 1" 0>1"
East N/A ❑ Yes Q No ❑ No Visible/Fine Layer Q h to 1" 0>1'
West H N/A [] Ys No ❑ No Visible/Fine Layer Qvto1" Q>1"
Facade Description:
Setbacks WA`9
Floor. Debris: Q No Visible/Fine Layer l '/ to 1" 0>1.
Floor: Debris: No Visible/Fine Layer % to V 021-10
Floor: Debris: No Visible/Fine Layer h to V 0>1.
Floor: Debris: Q No Visible/Fine Layer ❑'h to 1" > 1"
Floor. Debris: Q No Visible/Fine Layer ❑ 34 to 1" 0>1'
WTC inspection form for 8 HENRY STREET documenting building attributes, inspection tasks, and facade-side observations as part of environmental follow-up.
Checklist form documenting building characteristics, facade visual inspection results, and asbestos presence assessment at 196 Broadway for post-9/11 environmental evaluation.
WTC inspection form for 8 HENRY STREET documenting building attributes, inspection tasks, and facade-side observations as part of environmental follow-up.