NYC 9/11 Public Portal Document
PAYC I Vr
ASBESTOS INSPECTION REPORT
IN ION DATE
STREET
tEMISE NO
6 1 Mir SQUADS BADGE #
°
LOT
~P BORO CODE BIACK
E v►P
BLDG TYPE BASIS OF INSPEC[ ~ -1 E3~AMD PHOIOS TAKEN YF,S I NO
p c . 1 L
1' a SAMPLE NO
CONTRACTORS NAME `& L eL.~ 1 20`
`_ SAMPLE NO.
CITY w
DRS n
O 8 C 3, t~+~+
SAMPLE NO
ZIP ` 3 PNON
STATE
OWNERS NAME
LABOATRYNAMEY
PC
w CITY ADDRESS CITY
A ~
AD RES •
`
E S 4 STATE Z1P PHONE
ZIP ye HO
STATE
L VO Z~-^OO tl t pm TO:
TIME OF INSPECTION FROM:
CONTACT PERSON:
INSPECTION DISCLIDSED:
u
L4 t ( cEk i r a V
.Q -v s pt Q-r•~..€A o~-~ ~~ Q .C~ -rev
_p „
RESULT CODE
NOV 0 6VFRACTIONS
SUPE INITIALS
NOVA
4 • QUEENS S •RICitMOND
NORO I . MANHATTAN ? • BRONX 3 • BROOKLYN
A > 6 Stores . B <3 Stones C Binple Family
BLDG TYPE
f hospital , F Public Owned Ptope„y
D School .
RESULT CODES I Violation Issued 2 - No Violations Issued 3 • No Access
ACP 3019
4 . Pnlject not Started (No NOV) !3 • Prnlect Competed (No NOV)
FILE
NYC-WTC 000099586
OCR can misread numbers and units. Confirm readings against the page image before using them.