NYC 9/11 Public Portal Document
PAGE 1 OF
• ASBESTOS INSPECTION REPORT
PREMISE NO STREET INSPECTION DATE
12; oa~t.-►fl o
FLOOR I ZIP BORO CODE BLOCK LOT SQUAD r BADGE it
Q_oc i ~3 IZ D
I f __ /I r BLDG TYPE BASIS OF INSPECT. ^a M PHOTOS TAKEN YES I NO
IJn+i:, 1_ i't ~1 ~Sv
SAMPLE NO.
CONTRACTORS NAME
$S2 e_ci+.s 2B~—
CITY SAMPLE NO.
A DRESS
I:7 o Q P~Jg >~l~ rQ
PHON SAMPLE NO.
STATE . ` ZIP
It 3
OWNERS NAME
LABO A RY NAME
w Y A-s- :€jZ sc fr Lns PC tF 1 I—~
ADDRESS CITY CITY
AS!; µ S
STATE u` ZIP PHONE
STATE ,j • ZIP t 1. 0 Phi Z-Z~OO
TIME OF INSPECTION FROM: j çam/ TO: a
CONTACT PERSON: C ^ T A ~O
INSPECTION DISCLOSED: lam'
la.a- sg4 t3
J 2Ct
4P ~.~ c U
-Q J t o- S' t~ RsaC
NOV iT INFRACTIONS RESULT CODE
NOV / SUPERVISORS ITIALS
v
BORO 1 - MANHATTAN 2 - BRONX 3 - BROOKLYN A - QUEENS 5 -RICHMO D
BLDG TYPE A> 6 Stories 8 <6 Stories C Single Family
D School £ +Hospital 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 3093
FILE
NYC-WTC 000122943
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