NYC 9/11 Public Portal Document
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ASBESTOS INSPECTION REPORT
PREMISE NQ STREET INSPECTION DATE
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FLOOR . ZIP BORO CODE 8LOCK LOT SQUAD/ BADGE N
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BLDG TYPE BASIS OF INSPECT i ,n
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Og~ M f O ,_ PHOIOS TAKEN YES I NO
CONTRACTORS NAME SAMPLEEtNO.
1. A DRESS A ~ `- CIITYY 11
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STATE l ` ZIP , 3 PHON _ SAMPLE NO.
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LABO A RY NAME OWNERS NAME
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CITY N -
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ADDREO
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STATE t ZIP y~ HO STATE ZIP PHONE
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CONTACT PERSON: ~~ r A TIME OF INSPECTION FROM:` ~4am/pm TO:& am/pm
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INSPECTION DISCLOSED:
LL Q-Q
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NOV 1NFRAC IONS I
a RESULT CODE
NOV
a
I I I I I SUPERVt S INITIALS
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - CUEENS 5 -RICHMOND
BLDG TYPE A> S Stories 8 <6 Stories CC Single Family
D School f 4iospital F Public Owned Property
RESULT CODES 1 - Violation Issued 2 - No Violations Issued 3 - No Access
-4 - Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30/93
FILE
NYC-WTC 000122783
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