NYC 9/11 Public Portal Document
PREMISE NQ STREET wi NGATE
1L-- U s - 2€E1 I
FLOOR IZIP BORO CODE BLOCK LOT I SQUAD a BADGE a
S 1 - ' I I g I I D lD
rt~ PHOTOS TAKEN YES I NO
I R Ns~
1 L~r~P BLDG TYPE BASIS OF INSPECT. T2 , , o Q
L
9
CONTRACTORS NAME 1 t e e ll _ NO,
- _ SAMPLE
A DRS CITY , rfo SAMPLE NQ
AJf
STATE ZIP 3 PHON SAMPLE NQ
LABORATORY NAME OWNERS NAME
w Y +o-Ia~F. PC N G a, s, Cm
A E S S CITY N' I ADDRESS t v CITY
STATE t l b 0 psot L ,~^pO STATE , ZIP
Zip
CONTACT PERSON: V TIME OF INSPECTION FROM: amlpm TO: am/pm
INSPECTION DISCLOSED:
'1M 17-3
a~A3 fXK ~~P.w~-v
0. 0 L •
j4 D1-
NOV a INFRACTIONS RESULT CODE
NOV a SUPERVIS .II11ALS
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 I - Violation Issued 2 - No Violations Issued 3 - No Access
4 - Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 3093
FILE
NYC-WTC 000111968
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