NYC 9/11 Public Portal Document
| Environmental Co., Inc.
ot fice:
a. 13. [2o/e!
INSPECTION SIGN-OFF SHEET
CONTRACTOR NAME: AEI2.
Ffocarron: lO? - 104 Gramoich St __, Nea
| NAME: Anibal
rem NAME: Lovage :
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TYPE OF INSPECTION: fh Poly ( ) Pre-Removal ( ) Pre-Encapsulation
| (} paily () Final ()
hiss) / FAIL
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Good Fair Poor
COMMENTS Smoke Test ~
Barriers Wa
Equipment a
Paperwork SY
Hygiene /
Procedures - Lf
Fiber Count . WA
Contractor - Ask for previous days results.
Technician - Give copy of inspection to contractor. aa
Technician Signature:
Supervisor Signature: (Ak bed -—
NYC-WTC_000104989
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000104989Source: NYC Law Department, mirrored locally