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← Document results/DEP Box 49/177 BROADWAY 1001077, 63/19
Document / 4 pages

WTC environmental inspection form, 177 Broadway, undated

Machine-extracted title · confidence 85%

Inspection form recording facade conditions and ACM presence at 177 Broadway.

NYC-WTC_000122769–000122772

Folder label: “177 BROADWAY 1001077, 63/19”

Page image
Scanned page image, NYC-WTC_000122770
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT PAGE t OF

PREMISE NQ STREET I INSPECTION DATE I 1 l I —Z2—a2 FLOOR `p SORO CODE BLOCK LOT SQUAD N BADGE I I I c i t I _D Ln I R f A Y4 R BLDG TYPE BASIS OF INSPECr 1 PHOTOS TAKEN 1a1~~ 1 YES I NO

CONTRACTORS NAME S SAMPLE NQ t &f rn A RC A CITY ,• t AC SAMPLE NO. "g STATE ' ZIP t 3 PHON R*v ~~ D SAMPLE NO.

U180 RY NAME OWNERS NAME w -' € t2 A

STATE R

• ZIP CITY

H I ADDRESSt

STATE 1̀ C . - ; b0 Z'2 ADO ZIP t ~ 0 \ PHONE

CONTACT PERSON— ~~~ TIME OF IlNSPECTION FROM: ~am/pm TO: • rNprn

INSPECTION DISCLOSED:

t c~ _ cC L l 6i

NovA INFRACTIONS I , RESULT CODE NOV'I INITIALS

BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN A - QUEENS 5 -RICHMOND BLDG TYPE A > S Stories B <6 Stories C Single Family 0 School E Hospital F Public Owned Property RESULT CODES 1 - Violation Issued 2 - No Violations Issued 3 - No Access A a Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30,/93

FILE

NYC-WTC 000122770

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NYC-WTC_000122770Source: NYC Law Department, mirrored locally

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