NYC 9/11 Public Portal Document
ASBESTOS INSPECTION REPQRT PAGE 1 OF
PREMISE NQ STREET INSPECTION DATE
Igo ~2 w^ 4I0 -
FLOOR ZIP BORO CODE BLOCK I LOT SQUAD r BADGE r
~a a I i 3 17 I
1 E Nss
P f u __ n I BLDG TYPE BASIS OF INSPECT. PHOTOS TAKEN YES I NO
CONTRACTORS NAME `/~ C _ /• 9 e L SAMPLE NO.
6 fg_ /Z
A DR ^ eg A!`T CIITỲ~WAA _(; SAMPLE NO.
STATE • ~ j ZIP 3VL PHONE ro'►
~V - SAMPLE NO.
LABORATORY NAME OWNERS NAME
L&) r EiY r-€.L j , PC t i c -
AD&RES R S i CITY N ADDRESS
STATE ZIP
I
bO P OO STATE ZIp :PHONE -
CONTACT PERSON: TIME OF INSPECTION FROM:
o ~15 - arn! TO: /
tp
arr
INSPECTION DISCLOSED:
last c.JJ rlrs- ccosg t~3 ~,-ee~~Qw
rc 3`° o o v5 I d eC1
N
NOV r INFRACTIONS
RESULT CODE
NOV r
SUPERVISORS ITIALS
BORO 1 - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMO D
BLDG TYPE A> 6 Stories 8 < B Stories C Single Family
D School f +lospital 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 30193
FILE
NYC-WTC 000122896
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