, ft "V WTC Visual Survey Form (CO IQS
Premise Address:
0,141-
Block: i7 Residential 0 Cohmerci I Name of Building:
Lot: Mix Use Other W ~-
#of Stories: AKA's: 4)- C,)o 0-~ < 33 - —n- s -r
Building OwnerlM nagement: Telephone Number. (Z1Z) 4;
FAX: (.-
Name: L
Address: 1 Jo (Zzc,-f T IJ Lf. t 00 i
On Site Contact:
Name: " ' .. Telephone Number. 211- (Z 12.3
Building Owner Management Activities
Interior Survey Performed 0 Yes ❑ No
Exterior Survey Performed ❑ Yes ❑ No ss
General Clean Up ❑ Yes ❑ No Locations:
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring 0 Yes ❑ No Locations:
Copies of All Reports and Data Requested Yes
Visual Inspection Results:
Facade:
Ins cted Debris
North ❑ /A ['Yes ❑ No 9'No Visible/Fine Layer ❑,6tol ❑>1'
Di,s ❑ No o Visible/Fine Layer ❑%to 1" 0>1"
South
East
West
[ f1/A
[l /A
❑ N/A Q'Yes ❑ No
Qz o Visible/Fine Layer ❑ % to 1' 0>1"
[],No Visible/Fine Layer ❑ 6to1" 0>1"
Facade Description:
WTC inspection form for 8 HENRY STREET documenting building attributes, inspection tasks, and facade-side observations as part of environmental follow-up.
WTC inspection form for 8 HENRY STREET documenting building attributes, inspection tasks, and facade-side observations as part of environmental follow-up.