NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NO STREET INSPECTION DATE
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FLOOR I ZIP SORO CODE BLOCK LOT SQUAD f BADGE f
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lases P ( tr P ' BLDG TYPE BASIS OF INSPECT /f /~ I v
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O PHOTOS TAKEN YES I NO
CONTRACTORS NAME I tt•n L /~ _ . . , n ~~ SAMPLE NO.
ADDRESS A L~IT/Y~' t lA
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STATE , ` ZIP ~' ~3 L PHON5 M~~ ' _ 3 SAMPLE NO.
LABO A RY NAME a OWNERS NAME
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ADIIRES µ S CITY N `, ADDRESS 1Y
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STATE ZIP bo STATE ZIP
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CONTACT PERSON: V TIME OF INSPECTION FROM: am m TO:
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INSPECTION DISCLOSED:
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NOV f INFRACTIONS RESULT CODE
NOV f
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
NYC-WTC 000113229
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