WTC debris inspection form, 183 Broadway, 2002

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT PAGE 1 OF

PREMISE NO STREET INSPECTION I TE

FLOOR ZIP BORO CODE BLOCK LOT I SQUAD I BADGE f 1 I i I I ( co I I p o I Nov P r M __ A ' W BLDG TYPE BASIS OF' INSPECT. r . . . o PHOTOS TAKEN YES I NO

CONTRACTORS NAME 1 `t /~ ~~ e , n SAMPLE NO.

A DRS a 6U` f CITY JI SAMPLE NO.

• STATE ` ZIP N1 ' 3 PHON fa* ~v ^~ D SAMPLE NO.

LABO A RY NAME OWNERS NAME

AD Es S CITY `1 ADORES 3 Eeç? CITY

STATE t ZIP } COI p y L -L-t ~ STATE tj • ZIP PHONE

CONTACT PERSON: ; [ TIME OF INSPECTION FROM: _ ~r TO: p ~a

INSPECTION DISCLOSED: 1O

-4€C art. _ S u 9Q-J 2-( c J Lit —s

jL -

C- V 1.Ja ro ~Y

.90 uc -c

NOV, iNFRACnONS I I RESULT CODE

17 N I.:l', ITIALS

BORO 1 - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND BLDG TYPE A > 6 Stories D B< 6 Stones C Single Family School f +iospital 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 3393

FILE

NYC-WTC 000123006