NYC 9/11 Public Portal Document
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'ASBESTOS INSPECTION REPORT
PREMISE NO. STREET I INSPECTION DATE
FLOOR ZIP BORO CODE BLOCK LOT SOUAD I/ BADGE 0
4Z I b 1~ 1 DtO
t R Nis
PLgIrnP BLDG TYPE BASIS OFINSPECf - PHOTOS TAKEN YESINO
CONTRACTORS NAME- SAMPLE NO
Ft
ADDRESS e `g • ,_ CITY W -c; A SAMPLE NO
STATE ZIP PHON SAMPLE NO
-3pD
LABORATORY NAME OWNER NAME
P S inn
ADpRE S CITY t ADDRESS CITY
STATE ZIP S b O Hp L ~ ro p STATE ZIP
l~ V y ~Po-SCI
CONTACT PERSON: TIME OF INSPECTION FROM: 3p m TO:
INSPECTION DISCLOSED:
- ob W . a ..c1C •- LVz1JoX~`
_ n ^
D6~ r
R
NOV a INFRACTIONS RESULT CODE
NOVA
SUPE INITIALS
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN A - 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 30'03
NYC-WTC 000114692
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