PAGE I OF
ASBESTOS INSPECTION REPORT
INSPECTION DATE
~~—' STREET
SOUAD0 BADGEr
BLOCK LOT D ` .O
IDOR ZIP BORO CODE
e xTID '
BLDG TYPE BASIS OF INSPECT'r ~Q~ I 3
PHOTOS TAKEN YES 1NO
E R ~sy, ~~YnP
I n SAMPLE NO.
:CONTRACTORS NAME `& - e~~~i2 L
w SAMPLE NO.
CITY
A DRESS
~JJg
', W f~ 1k
SAMPLE NO.
ZIP PHONE
STATE • —3DC
k 3
OWNERS NAM
LABO A RY NAME P __._.11V
AD RES ~1 St
` n PHONY
E ESTATE Gp' - I
ZIP >1 N e
STATE P~O L - I- O
VO, Pm TO: 1 r~S am(~ln
t TIME OF INSPECTION FROM: t
l d
CONTACT PERSON:
INSPECTION DISCLOSED:
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RESULT CODE
NOV C INFRACTIONS
5
SUPERVISOR
NOV I ~ f J~~(v /
4 - OUEENS 5 -RICHMOND
IIANHATTAN 2 - BRONX 3 - BROOKLYN
BORO 1
C Single Family
A > 6 Stories B <6 Stories
BLDG TYPE F Public Owned Properly
D School B Hospital
2 - No Violations issued 3 - No Access
RESULT CODES 1 - Violation Issued JtCP 3019'.
5 - Project Completed (No NOV)
4 - Project not Started (No NOV)
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NYC-WTC 000114502
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NYC-WTC_000114502Source: NYC Law Department, mirrored locally