NYC 9/11 Public Portal Document
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ASBESTOS INSPECTION REPORT
PREMISE NO. STREET INSPECTION DATE
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17 B G, rY Pl //ace
FLOOR ZIP BORO CODE I BLOCK LOT SQUAD M BADGE a
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I I I 2 PHOTOS TAKEN YES I NO
INSPECTOR BLDG TYPE BASIS OF INSPECT. /7 6,3 /nNo
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CONTRACTORS NAME
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STATE ZIP
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CITY ADDRESS CITY
ADDRESS
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PHONE STATE PI1ONE
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TIME OF INSPECTION FROM: amlpm TO: amlpm
CONTACT PERSON: `(pay nj
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INSPECTION DISCLOSED:
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NOV a 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 Violations Issued 3 = No Access
4 = Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30/93
NYC-WTC 000119352
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