NYC 9/11 Public Portal Document
rNutIvr I
ASBESTOS INSPECTION REPORT
PREMISE NO. STREET INSPECTION DATE
I REC- bR S-rRC-C-T 6 f. f02
FLOOR I
I
ZIP BORO CODE
I
BLOCK II LOT SQUAD a BADGE #
-0-a
Fa.cctct . I I I
INSPECTOR p' h 041 BLDG TYPE BASIS OF INSPECT. TD t t &) MNO~ PHOTOS TAKEN XESV NO
mYrO
CONTRACTORS A E SAMPLE NO. ~ J
Prio S {QeincJ (Sar -
ADDRESS CITY SAMPLE NO.
-2o I rat C11e4 f
STATE ZIP P ONE SAMPLE NO.
N 1j3c6 6 - 100
LABORATORY hAAME OWNERS NAME
LJ renø PC. Ao4ri ZT.Spfrc .
ADDRESS CITY ADDRESS CITY
f S SS-Free 2iJ QYk
STATE ZIP PHONE STATE ZIP PHONE
,aoi 2 2 _QOT7
CONTACT PERSON: C kris 1-44ra» . TIME OF INSPECTION FROM: am/pm TO: am/pm
g4 , fo rn.
INSPECTION DISCLOSED:
Speiv7soi J em us lrJom oc frcmtt
¶ 'Y o 90-o cc3 mgt -
0
:!Ye.J t y aw
Vi )e.X~i inn W co L
nom. c d
-r res1 ~Q.a;fi-" cIQA/r7.
ie f a c 4 cl,re ed i a4J
' f Co o
NOV a INFRACTIONS RESULT CODE
5
NOV a SUPERVISORS INITIALS
?PP.
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 30/93
Fi l l:
NYC-WTC 000113827
OCR can misread numbers and units. Confirm readings against the page image before using them.