Block: Residential Commercial Name of Building:
Lot: Mix Use Other
# 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 ❑ No Locations:
Air Monitoring [] Yes ❑ No Locations:
Copies of All Reports and Data Requested Yes
Visual Inspection Results:
Facade:
In pected Debris
North ❑ N/A , Yes ❑ No ®4Clo Visible/Fine Layer ❑ 4 to l 0:.I .
South Q'N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑%to1' ❑>1"
East ! N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ h to 1' 0>1'
West [EN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1' 0>1'
Facade Description:
Roof
Debris: to Visible /Fine Layer -j] 4 to 1' ❑ > 1'
Description:
Setbacks N/A❑
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1'
Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1' ❑ > 1'
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1'
Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1' 0> 1'
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to V 9> 1'
Comments
Date: s / 1 12002 Inspection Team: Name: /Q'9 L Agency:
Name: Agency:
NYC-WTC 000130742
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NYC-WTC_000130742Source: NYC Law Department, mirrored locally
DEP inspection form for 50 Broadway documenting building characteristics, facade conditions, and asbestos-containing material survey across multiple building faces.