Building inspection form, 196 Broadway, WTC environmental assessment
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Checklist form documenting building characteristics, facade visual inspection results, and asbestos presence assessment at 196 Broadway for post-9/11 environmental evaluation.
,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
DEP inspection form for 50 Broadway documenting building characteristics, facade conditions, and asbestos-containing material survey across multiple building faces.