NYC 9/11 Public Portal Document
INSPECTION DATE
PREMISE Na
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STREET
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FLOOR ZIP I BORO CODE BLOCK LOT SQUAD N BADGE
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r' BLDG TYPE BASIS OF INSPECT. ~Q PHOTOS TAKEN YES! NO
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CONTRACTORS NAME /~ _ /1 ~ SAMPLE NO.
ADDRESS C, ^ Lk t3 CITY ; FrC4* SAMPLE NO.
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STATE ( ~j ZIP ~1 Q3V PHON Fs•~" SAMPLE NO.
LABO A RY NAME OWNER NAME
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AD4RESS E ~? 4 S CITY , ADDRESS CITY
STATE
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STATE ZIP I ZIP I= r
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CONTACT PERSON: V TIME OF INSPECTION FROM: r13() aml m TO:300 am m
INSPECTION DISCLOSED: o~
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NOV N INFRACTIONS RESULT CODE
NOV N
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SUPERVISORS INITIALS
BORO 1 - MANHATTAN 2 - BRONX 3 = BROOKLYN 4 - QUEENS 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 30193
FILE
NYC-WTC 000111910
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