NYC 9/11 Public Portal Document
PAGE ,OF
ASBESTOS INSPECTION REPORT
STREET INSP CTION DATE
PREMISE NO. A
3'0 . w psi- 10
FLOOR ZIP BORO CODE BLOCK LOT SQUAD # = DGE #
PHOTOS TAKEN E ! NO
BASIS OF INSPECT
I R
7 )3 BLD TYPE 09'w4.10
SAMPLE NO.
CON RACTORS NA
CITY SAMPLE NO.
ADDRESS
PHONE SAMPLE NO.
STATE ZIP
OWNERS NAME
LABORATORY NAME
ADDRESS CITY
ADDRESS CITY
STATE ZIP PHONE
STATE ZIP PHONE
TIME OF INSPECTION FROM: amlpm TO: amlpm
CONTACT PERSON:
INSPECTION DISCLOSED:
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INFRACTIONS RESULT CODE
NOV #
SUPERVISORS INITIALS
NOV #
1 = MANHATTAN 2 = BRONX 3 = BROOKLYN 4 = QUEENS 5 =RICHMOND
BORO
BLDG TYPE A > 6 Stories B < 6 Stories C Single Family
D School E Hospital F Public Owned Property
RESULT CODES I = Violation Issued 2 = No Violations Issued 3 = No Access
5 = Project Completed (No NOV) ACP 30/93
4 = Project not Started (No NOV)
NYC-WTC 000109987
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