Block: Residential Commerci Name of Bull ng:
Lot: Mix Use Other
# of Stories. AKA's:
Building Owner/Management Telephone Number ( )
Name: FAX:
Address:
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
Visual Inspection Results:
Facade:
Inspected Debris
North ❑ N/A fl YesDNo No Visible/Fine Layer ❑i4to1' 0>1'
South ❑ N/A Yes No No Visible/Fine Layer
East ❑ N/A Yes No No Visible/Fine Layer i4 to 1' H:10 1'
West N/A
a
Yes ❑ No
n
No Visible/Fine Layer ❑%to1- ❑>1'
Facade Description: t,
DEP inspection form for 50 Broadway documenting building characteristics, facade conditions, and asbestos-containing material survey across multiple building faces.