NYC 9/11 Public Portal Document
ASBESTOS INSPECTION REPORT PAGE I OF
PREMISE NO STREET INSPECTION TE
rr j ( _, ~j
(U S_ CS -W_1
FLOOR ZIP BORO CODE BLOCK LOT SQUAD I BADGE it
-,. $ t3 S ( FS 1 AID l D
SP 1R f /1 BLDG TYPE BASIS OF IN O-L PHOTOS TAKEN YES INO
VvtJ
CONTRACTORS NAME t SAMPLE NO.
f " - O
CITNY,•`IC
^ _
A DRS SAMPLE NO.
STATE ZIP 3 PHON f~ +~" n SAMPLE NO.
LABORATORY NAME OW ERS NAME
-s- € 2 Iaetr SL P ~A-' , -!k4-44
- -fit-
-
ADORES ~-~7 S CITY N ' AO
STATE ZIP 1,}~O lPy ST,4 p I I
l V Z .O b
CONTACT PERSON: TIME OF INSPECTION FROM: amJpm TO: , am/pm
ç
INSPECTION DISCLOSED:
((~~
S o~.c <c~C
N \
I5
NOV I INFRACTIONS RESULT CODE
NOV#
SUPERVISORS I IALS
BORO 1 - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A> 6 Stories B < 6 Stories C Single Family
D School 5 Hospital f Public Owned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 - No Access
- Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30193
FILE
NYC-WTC 000122180
OCR can misread numbers and units. Confirm readings against the page image before using them.