NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS.INSPECTION REPORT
PREMISE NQ EET INSPECTION DATE
FLOOF
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SQUAD I BADGE
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P SORO CODE BLOCK LOT
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I R PL t P I BLDG TYPE BASIS OF INSPI „IoD C. _ PHOTOS TAKEN YESI NO
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CONTRACTORS NAME 1 lt^g r-R- Cs n' t SAMPLE NO.
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AQQRESS ^ e `g A ' CITY , 1 A SAMPLE NO.
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STATE • 1 ~j ZIP~h + 1 3 PHON~AJ M *~y' n SAMPLE NO.
LABO A RY NAME OWNER NAME
,.1L Y Ar s r-€.L I.~eL& PC L t l P 1 'a1i s- La
AO~RE E S S CITY N ADDRESS CITY
STATE - ZIP I STATE ZIP p O
IrJ bo 1 Z'Z ~O
CONTACT PERSON: V TIME OF INSPECTION FROM: (11) am! m TO .a"rPM
INSPECTION DISCLOSED:
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~`-'K l S GAO AM
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Sr~ IN Ltt t
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1
NOV I INFRACTIONS I RESULT CODE
NOV I ( I I I I SUE IpRS INITIALS
i
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS S -RICHMOND
BLDG TYPE A> 6 Stones B < 5 Stories C Single Family
D School E Hospital F Public Owned Property
RESULT CODES 1 - Violation Issued 2 - No V iolations Issued 3 - No Access
4ICP 3
4 - Project not Started (No NOV) 5 - Project Completed (No NOV)
NYC-VVTC 000115965
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