NYC 9/11 Public Portal Document
ASBESTOS INSPECTION REPORT PAGE 1 OF
LFW-MliNQ. STREET INSPECTION DATE
Ill 4, -
ZIP C51, BORO CODE BLOCK LOT SQUAD R BADGEN
BLDG TYPE BASIS OF INSPECT! ' ~ 7 t O PHONS TAKEN YES I NO
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CONTRACTORS NAME i SAMPLE NO.
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& A- CrcY' InCS--
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A SAMPLE NO.
STATE ( C' ZIP I 1~-A PHONW SAMPLE NQ
LABORATORY NAME OWNERS NAME
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A RE S t CITY N ADDRESSI CITY
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STATE y~ STATE ` . ZIP O pp, ~/ PHONE
tJ ZIP I VO HO
CONTACT PERSON:r7~ CSr TIME OF INSPECTION FROM: ~amfpm 'TO: ® am/pm
I
INSPECTION DISCLOSED.
1W
Nov INFRACTIONS I
P RESULT CODE
NOVi
I I I I I s
SUPERVJ}RS INITIALS
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN A - QUEENS 5 -RICHMOND
BLDG TYPE A > 6 Stories 8 <6 Stories C Single Family
0 School E Hospital F Public Owned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 - No Access
d - Project not Started (No NOV) 5 - Project Completed (No NOV) RCP 30193
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FILE
NYC-WTC 000122740
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