NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NQ STREET IN DATE
aP BORO CODE BLOCK ' LOT SOUAD 1 BADGE.
4 [ t4S I 1 0t
1 R L i BLDG TYPE BASIS OF 1NSPECE '' t /
taL~~ 1 3 Ai% ) PHOTOS TAKEN YES! NO
CONTRACTORS NAME 1 n /~ ,L -L SAMPLE ~o
Fi R. NO
A DRQ SAMPLE NO
~~(AJ~-/S 1 A C4
~ •-GO/TY
STATE DP 1 ` 3 PHON SAMPLE NQ
LABO A RY NAME OWNERS NAME
W Y A-+J LE 2 J~ 1!s P o Lb wC
CITY N ADDRESS CITY
STATE • ZIP i O ~~ p STATE DP PHONE
1j bo
V L
CONTACT PERSON: TIME OF INSPECTION FROM: 4 b TO ~~1OartV
INSPECTION DISCLOSED:
1L iUo QQjL aJ ni l o a ~A v
•
[n~
o— oc
< atir~ e7 C
Nov • INFRACTIONS RESULT CODE
Nov I
SUPfiRVLSORS INITIALS
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A > B Stories B < B Stories C Single Family
D School E Hospital F Public Owned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 - No Access
4 - Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 3DP93
1
NYC-WTC 000114774
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