NYC 9/11 Public Portal Document
ASBESTOS INSPECTION REPORT
i E'
I
1EMISE NQ '~ O 7L—
a-3 , LLr iQstM si 2~ 'C SOUAD 0 6ADOE
Ulf
BLOCK D p
P140105 TAKEN YF_S / NO
TYPE 815IS OF INSPECT. IC
/1 I 7/
N~ P 1~
f YAP i B SAMPLENQ~t
a
~`_~
ONTRACTORS NAME ~...OtN --G --
~~
SAMPLE NQ
CITY '- `w _c
QoRESS _ lZ • D .'
STATE ZIP 1 1 3
OWNERS NAME
LABORX RY NAME Y L IPA P l~-
ADDRESS ,s,ti
CITY
~q 51 CITY lOw~ ~/
ADORES
~- STATE G ZIP PHONE
STATE _ t ZIP yam MO tZ—O ~
C) TO' f wt 0
ry TIME OF INSPECTION FROM: to 3
CONTACT PERSON:
INSPECTION DISCLOSED:
,S
!J
RESULT CODE
NOV IMFRACTLONS
SUPERVISORS INITIALS
NOV a
PKP
4 - QUEENS 8 .Rlf., 1MOND
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN
BLDG TYPE A > S Stories B <5 Stories C Single Family
0 School £ Hospital , f Public Owned Ptopeny
RESULT CODES I - Violation Issued 2 - NO Violations Issued 3 - No Access
4 - Project not Started (No NOV) 3 , Protect Compl•Ier9 (ten NOV)
FILE
NYC-WTC 000110409
OCR can misread numbers and units. Confirm readings against the page image before using them.