NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
INSP Cf ON DATE
STREET
tEMISE NQ
r ~7 -TAP - tct j JO
SOIYD I eAD6E.
l~pp yP BORO CODE BLACK
AD 10
. P"O1OS TAKEN YES I NO
BASIS OF INSPECT i 1~ ~
BLDG TYPE
t ~~ Q L.tiv+r►P I K-~
SAMPLE NQ
r.
ONTRACTORS NAME
F tg~~. e c~s ~ 2 b~ SAMPLE NQ
A CITY `/ ~ ,t
A
DRC t5 Q&~g I~'~
- SAMPLENQ
ZIP PHON
STATE 3
OWNE1 NAME F ~j +
1.- 1
LABORATORY NAME Y
PA—'.s £L CITY (~~~~ P ADDRESS
'
c ~f~ CITY
ADl+F1ES S t 1
E , PHONE
1 STATE , ZIP
STATE • ZIP bo zZ~D a
TIME OF INSPECTION FROM: a
CONTACT PERSON:
INSPECTION DISCLOSED:
S Co -'
- i•
OZ'
L l
ctA
cok N1 `
RESULT CODE
NOV / INFRAC710NS
5
SUPERVISORS INITIALS
NOVI i
3 - BROOKLYN 4 - GUEENS 5 -RICHMOND
BORO I - MANHATTAN 2 - BRONX
BLDG TYPE A > B Storks B <6 Stories C Single Family
D School f Hospital F Public Owned Property
RESULT CODES 1 - Violation Issued 2 - No Violaf ons Issued 3 - No Access
ACP 3019
A - Project not Started (No NOV) S - Project r+ompleted (ND NOV)
FILE
NYC-WTC 000094330
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000094330Source: NYC Law Department, mirrored locally
Blank or template asbestos inspection report form with fields for building premises, contractor information, sample collection, and laboratory analysis.
1 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.969