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Building inspection form, 196 Broadway, WTC environmental assessment

Machine-extracted title · confidence 78%

Checklist form documenting building characteristics, facade visual inspection results, and asbestos presence assessment at 196 Broadway for post-9/11 environmental evaluation.

NYC-WTC_000123160–000123161

Folder label: “196 BROADWAY 1001219, 79/16”

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Scanned page image, NYC-WTC_000123160
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NYC 9/11 Public Portal Document

,WTC Visual Survey Form /0 D 12-f1 Premise Address: ✓ta Block: 1Y ResidentialLi Commerciii 1 Name of Building: Lot: Mix Use p Other EJ # 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 0 No Locations: Air Monitoring [] Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual inspection Results: Facade: Inspected Debris North D N/A ❑ Yes [] No No Visible/Fine Layer Drato1' 0>1" South ❑ N/A [] Yes ❑ No No Visible/Fine Layer ❑%to 1" 0>1" East ❑ N/A J es ❑ No No Visible/Fine Layer %to1" 1" West ❑ NIA Yes ❑ No o Visible/Fine Layer ]Yato 1" 0>1" Facade Description:

Roof Debris: ❑ No Visible /Fine Layer % to 1" 0>1" Description: ca )q'1t 0 -/

0/ Setbacks N/F4( Floor. Debris: Q No Visible/Fine Layer 036101" 0>1" Floor. Debris: No Visible/Fine Layer 0 % to 1" > 1" Floor. Debris: 0 No Visible/Fine Layer 0 % to 1' > 1' Floor Floor Debris: No Visible/Fine Debris: No Vial le/Fl Layer h to 1" LayerH%tol' H > 1" >1" Comments

Date: Lf / 7r LJ E inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000123160

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NYC-WTC_000123160Source: NYC Law Department, mirrored locally

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