NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NQ STREET INSPECION DATE
FLOOR ZIP BORO CODE BLOCK UOT SQUAD 9 DG N
BLDG TYPE BASIS OF INSPECT. ' j Q t 1' p~ . A~ Q PHOTOS TAKEN YES I NO
CONTRACTORS NAME ( /J f f 1 n ®L wQ
SAMPLEIN
'C
A RES A ~ C7
g A CITY ~^ SAMPLE NO.
STATE j ZIP PHON R SAMPLE NO.
LABO A RY NAME OWNERS NAME
w P, —,.s 1 P Gr
ADAR CITY ADI] ESS CITY
. I~ St C
STATE ` ZIP t y~0 STATE A J ` ZIP ~~ D / N T
V
CONTACT PERSON,:-, n s g TIME OF INSPECTION FROM: S _04 m 'TO:
INSPECTION DISCLOSED. `• (~
J Q
~ s
NOV r INFRACTIONS RESULT CODE
NOV#
SUPERVISO INITIALS
ri41
BORO 1 - $MANHATTAN 3 - BROOKLYN 4 - QUEENS
2. ?BRONX 5 -RICHMOND
BLDG TYPE A > 6 Stories 8 < 6 Stories C Single Family
D School >F Hospital f -Public Owned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 - No Access
7 4- Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30193
FILE
NYC-WTC 000122094
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