NYC 9/11 Public Portal Document
ASBESTOS tNSPEtvf1ON'REPORT PAGE IOF
PREMISE NQ STREET INSPECTION DATE
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FLOOR DP BORO CODE BLOCK LO? SQUAD a BADGE e
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I E R Nye
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BLDG TYPE BASIS OF INSPECT.--, Lp~ mN D PHOTOS LIKEN YES/NO
CONTRACTORS NAME `8-f a /s - _ e ,#- SAMPLE NO.
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A ORS e • ,~~ -C
CITIY W A,A -` SAMPLE NO
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STATE ZIP I t PHON Nom" - D SAMPLE NO.
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LAW A RY NAME Y A_S rE OWNERS NAM
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ADORE . ADDRESS CITY
S 1 Y N .
STATE r ZIP I y~0 O 'Z^D O STATE ZIP NE
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CONTACT PERSON: TIME OF INSPECTION FROM %D TO: r m/
INSPECTION DISCLOSED v
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MA l S ~'l S 9- o ti
NOV S INFRACTIONS RESULT CODE
NOV a
SUPERVISORS INITIALS
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BORO 7 - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A > 6 Stories B <5 Stories C Single Family
D School E Hospital F Public Owned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 - Plo Access
4 - Project not Started (No NOV) 5 - Project Completed (No NOV) ACP XIS
NYC-WTC 000127129
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