NYC 9/11 Public Portal Document
ASBESTOS INSPECTION REPORT PAGE 1 OF t
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PREMISE NO. STREET
INSPECTION DATE
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FLOOR ZIP BORO CODE BLOCK LOT
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INSPECTOR BLDG TYPE BASIS OF INSPECT
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CONTRACTORS NAME R(-Q SAMPLE NO.
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STATE ZIP PHONE SAMPLE NO.
LABORATORY NAME V\1/FRREA( St PANZER OWNERS NAME
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CITY
STATE ZIP PHONE STATE ZIP PHONE
CONTACT PERSON: TIME OF INSPECTION FROM: Ipm TO:
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INSPECTION DISCLOSED:
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NOV # INFRACTIONS
RESULT CODE
NOV #
SUPERVISORS INITIALS
BORO 1 = MANHATTAN 2 = BRONX 3 - BROOKLYN 4 = 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 Violalinns Issued 3 = No Access
4 = Project not Started (No NOV)
5 -:: Protect Completed (No NOV)
ACP 30/93
NYC-WTC 000118348
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