ASBESTOS INSPECTION REPORT
INSPECTION DATE
STREET
REMISE NO
SQUAD / BADGE •
BORO CODE BLOCK LOT D `D
LOOR ZIP
i 5 PHOTOS TAKEN YS I NO
BASIS OF INSPECT I D I Q A ^~~ i
f r wr
` I
BLDG TYPE
SAMPLE
ENNO.
"
:ONTRACTORS NAME t C t 28L_
SAMPLE NO.
/t - ~ CITY ` c;
DRESS ~
b SAMPLE NO.
ZIP , PHON ~y _3bD
STATE . `
3 b
fv OWNERS NAME
LABOFjATC~RI NAME n ~- 2 . WU i Y
I~e~IiS P
_~' I~ ADDRESS
CITY .1 33 ac a
~1 STATE ZIP I OO I PHONE
STATE ZIP
t bOI ' 'PO 7_
FROM_.Ty p( Pm TO: 3t a
TIME OF INSPECTION
CONTACT PERSON:
INSPECTION DISCLOSED:
J~
f7
RESULT CODE
NOV M INFRACTIONS
SUPERVISORS INITIALS
NOV a
4 - QUEENS 5 -RICHMOND
1 - MANHATTAN 2 - BRONX 3 - BROOKLYN
BORO
8 < 6 Stories C Single Family
BLDG TYPE A > 6 Stories .
f Hospital F Public Owned Properly
D School
RESULT CODES 1 - Violation Issued 2 - No Violations Issued 3 - No Access
ACP 3069'
4 - Project not Started (No NOV) 5 - Project Completed (No NOV)
FILE
NYC-WTC 000112720
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NYC-WTC_000112720Source: NYC Law Department, mirrored locally