NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NQ STREET INSPECTION DATE
-t s ~2
FLOOR aP SORO CODE BLOCK - LOT SQUADS I BADGE a
I I 1 b . 0t~
1 R Nvs
PLt& /T' BLDG TYPE BASIS OF INSPECrTr , c 8o PHOTOS TAKEN YES I NO
CONTRACTORS NAME t
I7
-) _ SAMPLE NO
ADDRESS _ ~CIITY . SAMPLE NO
O o g ~g t r- W l
STATE ZIP 3 PNON SAMPLE NO
-"3DD
LABORATORY NAME OWNER NAME
P S>L t rr, . S
ADORE E . S ` CITY N ADDRESS CITY
1+
STATE ZIP ` b 0 HO STATE ZIP
VV LZrO0 y' tJPo-SsI
CONTACT PERSON: TIME OF INSPECTION FROM:
3o am5m TO:
£
INSPECTION DISCLOSED:
c c 1r~A 1 l
11W C o- lN..~
Cep c
pp
NOV a INFRACTIONS RESULT CODE
NOVA
S
I
SUPERVISORS INITIALS
______________________________________________
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A > 6 Stones B <8 Stories C Single Family
D School 1 f Hospital F Public Owned Property
RESULT CODES 1 . Violation Issued 2 - No Violations issued 3 - No Access
-4 . Project not Started (No NOV) S . Project Completed (No NOV) AP 3093
NYC-WTC 000114707
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