PAGE 1 OF
ASBESTOS INSPECTION REPORT
10N DATE
STREET
EMISE NO
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L
LOT SQUAD a
OOR ZIP BORO CODE
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1~"D~ I
E R
3NTRACTORS NAME
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n
P (4 BLDG 1PE BASIS OF INSPEC f (
SAMPLE NO.
p pr fr a
PHOTOS TAKEN YES 1NO
16eL
SAMPLE NO.
CITY , 1 l
DRESS L/Uisr"
SAMPLE NO.
ZIP i PHON _
FATE ' ` •
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1v NAME
ABO li RYNAME - OWNERS~
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STATE ZIP PHONE
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TIME OF INSPECTION FROM: 3p pm TO: 3 p am rr
:ONTACT PERSON:
NSPECTION DISCLOSED:
Q
b '7 rw IM1 4L
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RESULT CODE
NOV M INFRACTIONS
a SUPERVISORS INITIALS
NOV
2 - BRONX 3 - BROOKLYN A - QUEENS 5 -RICHMOND
BORO 1 - MANHATTAN
BLDG TYPE A > 6 Stories . 6 <6 Stones C Single Family
D School E -Hospital P Public Owned Property
RESULT CODES 1 - Violation Issued 2 - No Violations Issued 3 - No Access
Completed (No NOV) ACP 30193
-
4 Project not Started (No NOV) 5 - Project
NYC-WTC 000122909
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NYC-WTC_000122909Source: NYC Law Department, mirrored locally