NYC 9/11 Public Portal Document
PAGE t OF '
ASBESTOS INSPECTION REPORT .
PREMISE NQ STREET INSPECTION DATE
FLOOR ZIP SORO CODE CK tar t30UAD 0 BADGE
BLDG TYPE BASIS OF INSPECT. Qc PHOTOS TAKEN YES I NO
t- I' 4Jc1~j
CONTRACTORS NAME t _ SAMPLE NO.
A DR8 A CITY W SAMPLE NQ
Gl Ca Q /J g f~T3VL
STATE ZIP ` PHON 9 SAMPLE NO.
OWN SHAME
W RYNAME Y
-l.~~~ R- Qn
n
r ,
DDRESS .
AQpR CITY `I r., nKS 'CITY
{~ S N 4
STATE ZIP l O L STATE ZIP i OI' 0 PHONE
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CONTACT PERSON: t V TIME OF INSPECTION FROM: fpm _~ O: Eampm
m
INSPECTION DISCLOSED:
1.Jad
GR I
NOV # INFRACTIONS RESULT CODE
NOV 0
SUPERVISORS IN
SORO I - MANHATTAN 2 - BRONX S - BROOKLYN A - QUEENS 5 -RICHMOND
BLDG TYPE A > S Stories 8<8 Stories CC Single Family
0 School £ *lospitai P Public Owned Property
RESULT CODES 1 -Violation Issued 2 - No Violations issued 3 - No Access
i - Protect not Started (No NOV) 5 - Project Completed (No NOV) ACP 30/93
FILE
NYC-WTC 000119778
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