: . WTC Visual Survey Form
Premise Address: -}-.
C
,Block:- Resi ntial Commercial J Name of Building:
Lot: Mix Use 0 Other
# of Stories: AKA's:
Building OwrQñanagement Telephone Number: ( )
Name: £O-&- -- FAX:
Address:
On Site Contact
Name: V 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 Yes
vtsuai inspection Results:
Facade:
Inspected Debris
North ❑ N/A ❑ Yes No ❑ No Visible/Fine Layer " "
South ❑ N/A ❑ Yes g No ❑ No Visible/Fine Layer ❑ 4 to 1 0>1"
East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ %to 1" 0>1"
West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1"
Facade Description: n j} ,
DEP inspection form for 50 Broadway documenting building characteristics, facade conditions, and asbestos-containing material survey across multiple building faces.