NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NO
FLOOR
a
IZIP
VS I
BORO CODE
STREES
BLOCK LOT SQUAD I
17 16 -1)2-
INSPECTION DATE
BADGE
ko o I I 4ti D
1 E R Nsv
P BLDG TYPE BASIS OF INSPECT.
oo, n 0 L I PHOTOS TAKEN YES I NO
CONTRACTORS NAME f..L SAMPLE NO
c, '— z - _
ADDRESSS ^ ~ g A CIITY~'- I fA i A.~ SAMPLE NO.
0
STATE ZIP t
`
~ 3V ~ • PHONW
-7g..3 SAMPLE NO.
LABORATORY NAME OWNERS NAME
A9 RES CITY ADDRESS CITY
• i4 S S N
STATE ZIP boI NL
L'Z-00
STATE ZIP NE ~7/ ~J5
VV o2 ~ /
CONTACT PERSON: TIME OF INSPECTION FROM:/ 3 .me) TO:2 / am m )
INSPECTION DISCLOSED:
lL
((~~
&
o P .~
ft
c~. na
NOV 0 INFRACTIONS RESULT CODE
NOV
S
I I — SUPERV-- RS INITIALS
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A > 6 Stories 8 < 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) ASP 30193
NYC-WTC 000112140
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