NYC 9/11 Public Portal Document
PAGE ! OF
ASBESTOS IVSPECTION REPORT
ION DATE
iEMISE NO '02»
1 -9
tIDT 80UAD r
>DOR~ 2IP eoRo CODE BLOCK
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W PHOTOS TAKEN YES I NO
et -n r BLDG~YPE BASIS OF INSPECT. '
SAMPLE NQ
ONITRACTORS NAME ` g~~ I
SAMPLE NO.
D g A CITY i. to _l _1
AMPLE NO.
TATE ZIP PHON 7g f
3
OWNERS NAME
RYNAMEY ~ ~
BO P ADDRESS
COY ,
$r f
STATE ` ZIP PHONE
STATE 1 ZIP 1 b0 O
TIME OF INSPECTION FROM: t}pamI TO: [
INTACT PERSON:
INSPECTION DISCLOSED:
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RESULT CODE
Nov * NFRACTIONS
1 0
SUPERVISORS INITIALS
NOV R
i i
2 ® BRONX 3 - BROOKLYN 4 - QUEENS 5 .RICHMOND
BORO I . MANHATTAN
BLDG TYPE A > 6 Stories a B <6 Stories CC Single Family
D School E 'Hospital F Public Owned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 . No Access
Completed (No NOV) ACP 3O9'
m
A Project not Started (No NOV) S . Project
NYC-WTC 000122786
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