Block: Resident Z. Commercial p Name of Building:
Lot: Mix Use J Other
#of Stories: AKA's: -.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-
Building neNMana nt: Telephone Number.; P11
Name: !-'-3 ok' L FAX: --------------- -
Address:
On Site Contact:
Name: " ' -•~ Telephone Number
Building Owner Manageme t Activities
Interior Survey Performed Wes ❑ No
Exterior Survey Performed O Yes ❑ No
General Clean Up ..Yes fl No Locations:
ACM Clean Up Yes o Locations:
Air Monitoring Yes 0 No Locations:
Copies of All Reports and Data Re ueste Yes
Visual Inspection Results:
Facade:
tinpected D ris
North ❑ N/A es ❑ No No Visible/Fine Layer ❑'/s to 1" ❑ > 1"
South A es ❑ No ç No Visible/Fine Layer ❑'h to 1" ❑ > 1"
East N/A Yes ❑ No j~,No Visible/Fine Layer ❑ % to 1" ❑ > 1"
West /A es ❑ No to Visible/Fine Layer ❑ 4 to 1" ❑ > 1"
Facade Des ription:
A letter from the Department of Environmental Protection requesting copies of environmental hazard assessments and cleanup summaries for buildings near the World Trade Center site.