NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NO. STREET INSPECTION DATE
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FLOOR ZIP BORO CODE BLOCK LOT SQUAD 0 BADGE a
13{o i DtD
I E R Ns~
P Lu m p I
11''
BLDG TYPE BASIS OF INSPECtT, f , , o Ø 0 PHOTOS TAKEN YES I NO
CONTRACTORS NAME 1 t /~ SAMPLE NO.
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ADDRESS A ~ CIITY `I^ _ (\ , A ~ SAMPLE NO.
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STATE . ` PHONE FTTh"y l -, SAMPLE NO.
ZIP 1 3
LABORATORY NAME 2S OWNERS NAME
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AD ES CITY • ADDRESS CITY
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STATE • b o
ZIP 1 V LZ^D O
STATE ZIP PHONE
CONTACT PERSON: TIME OF INSPECTION FROM}~tyO am TO:/ tfO a pm
INSPECTION DISCLOSED:
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® SQ e~J~ a CJLQ . cLte
NOV r INFRACTIONS RESULT CODE
NOV I
SUPERVISOR NITIALS
aunv I - 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 ) - Violation Issued 2 - No Violations issued 3 - No Access
4 - Project not Started (No NOV) 5 - Project Completed (No NOV) ASP 3pg3
NYC-WTC 000113173
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