PAGE 1 OF
ASBESTOS INSPECTION REPORT
INSPECTION IRATE
STREET
REMISE Na n -
SQUAD I BADGE r
LOT
ZIP BORO CODE ,
BLOCK
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2
~ ~ I
PHOTOS TAKEN YES I NO
I BLDG TYPE BASIS OF INSPECT!i n1n . . 1t ~ 1 o y,
I'
L ~YY1P
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_ e SAMPLE NO.
aANTRACTORSNAME tg£~ ~ 1 (LOL
SAMPLE NO.
ADORESS O
SAMPLE NO.
STATE - ` ZIP 3
1~
Iv b OWNERS NAME
LABORATORY NAME
P tc P F OS y~
CITY
AD RES S
CITY N . .1 E P11
E _1 STATE IP OO PHONE
STATE _ ` ~ ZIP ~
t N VO ~ '}fY
P LZ' O~ ~ y
( IS+~ m TO: ( q
TIME OF INSPECTION FROM:
CONTACT PERSON:
INSPECTION DISCLOSED:
S '
RESULT CODE
NOV I INFRACTIONS
SUPERVISORS II*IT
NOV I
4 - QUEENS 5 -RICHMOND
1 . MANHATTAN 2 - BRONX 3 - BROOKLYN
FORD
B < 6 Stories C Single Family
SLOG TYPE A> 6 Stories ,. public Owned Property
f Hospital F
D School
2 - No 'iolations issued 3 - No Access
RESULT CODES 1 - Violation Issued ACP 30/9
4 - Project not Started (No NOV) 5 - Project Completed (No NOV)
eP
NYC-WTC 000114532
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NYC-WTC_000114532Source: NYC Law Department, mirrored locally