I _ BLDG PE BASIS OF INSPE Io PHOTOS TAKEN YES) NO
CONT S NA SAMPLE NO.
ADDRESS CIT SAMPLE NO.
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STATE p ZIP ON SAMPLE NO.
LABORATORY NAME
ADDRESS w
OWNERS NAME
ADDRESS
• rl
ITY ITY w`
t
STATE ZIP STATE Zip
cs PHONE
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CONTACT PERSON: TIME OF INSPECTION FROM:,3p am TO::CrO am
INSPECTION DISCLOSED:
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NOV # INFRACTIONS I RESULT CODE
NOV #
SUPERVISORS INITIALS
BORO 1 = MANHATTAN 2 - BRONX 3 = BROOKLYN 4 = QUEfNS 5 =RICHMOND
BLDG TYPE A > 6 Stories B < 6 Stories C Single Family
D School E Hospital F Public Owned Property
RESULT CODES 1 = Violation Issued 2 = No Violations Issued 3 = No Access
4 = Project not Started (No NOV) 5 = Project Completed (No NOV) ACP 30)93
all C
NYC-WTC 000100496
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NYC-WTC_000100496Source: NYC Law Department, mirrored locally