NYC 9/11 Public Portal Document
ASBESTOS INSPECTION REPORT PAGE 1 OF
PREMISE NO STREET SPE ION DATE
FLOOR ZIP BORO CODE I BLOCK LOT SQUAD r ADG r
1 E R
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BLDG TYPE BASIS OF INSPECT. t Q ' , 1 p,~
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M,UO PHOTOS TAKEN YES I NO
CONTRACTORS NAME SAMPLE1NO.
A DRESS A CITY 1~ SAMPLE NO.
STATE ZIP , PHON SAMPLE NO.
1 O
LABORATORY NAME OWNERS NAME
w -t pa-~r.eL IfrLtt, PC r
A RES ADDRESS
STATE ZIP ` y~Q 1
CITY N
P ty Z ~ rQ p STATE
c CITY
CONTACT PERSOIJ i , ^ TIME OF INSPECTION FROM: ~v m TO:
INSPECTION DISCiOSED. p (J
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r ot Z
NOV r INFRACTIONS
RESULT CODE
NOV r
SUPRVISO INITIALS
ovnv I . MANHATTAN 2 -/ BRONX 3 e BROOKLYN 4 - OUEENS 5 RICHMOND
SLOG TYPE A > b Stories 8 <6 Stories C Single Family
D School f Hospital f Public Owned Property
RESULT CODES 7 - Violation Issued 2 - No Violations Issued 3 - No Access
G/ 4 - Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30193
FILE
NYC-WTC 000122110
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