NYC 9/11 Public Portal Document
PAGE1OF
ASBESTOS INSPECTION REPORT
STREET A INS CfION DATE
PREMISE NO.
3 • ~„~ ~S~ ~.ro o
BLOCK LOT SQUAD a DOE a
FLOOR ZIP BORO CODE
Ft s 1 l I I to
BASIS OF INSPECT ~A ., O~.141JO PHOTOS TAKEN ( I NO
1 OR BLD TYPE
O
SAMPLE NO.
CON RACTORS NA
CITY SAMPLE NO.
ADDRESS
PHONE SAMPLE NO.
STATE ZIP
OWNERS NAME
LABORATORY NAME
CITY ADDRESS CITY
ADDRESS
PHONE STATE ZIP PHONE
STATE ZIP
TIME OF INSPECTION FROM: amlpm TO: amlpm
CONTACT PERSON:
INSPECTION DISCLOSED:
e. Ewa
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pp
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r'
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NOV a INFRACTIONS RESULT CODE
NOV a SUPERVISORS INITIALS
BORO 1 = MANHATTAN 2 = BRONX 3 = BROOKLYN 4 = QUEENS 5 =RICHMOND
BLDG TYPE A > 6 Stones 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 NOVI 5 = Project Completed (No NOV) ACP 30193
NYC-WTC 000109846
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