INSPECTION DATE
STREET
REMISE NQ
~~~ ISM sf2 T I - 31 —oz
C
SQUAD I BADGE 1
BORO CODE BLOCK LOT
LOOK 21P
I D lD
YES I NO
PHIS TAKEN
BASIS OF INSPECT. i n 1 ( A L./a
P.Y tz~ P t~vn I
n
n BLDG TYPE
SAMPLE N0.
ONTRACTORS NAME t
&
L c~,~ 26 ~e
SAMPLE NO.
CITY ^ (_
A iRES
SAMPLE NO.
ZIP PHON
STATE • 1,
3
OWNERS NAME
LABO A RY NAME p u1&p )a b IS -- C'~►.]U' Jtty~ ~!-SS a
~I. e , CITY J .
1~ ADDRESS
CITY
AD4RE5 E
• STATE +, ZIP __ PHONE
ZIP b o I HO ' 1O p
L ,~~
STATE _ 1
TO:/ 3 O sm
I V TIME OF INSPECTION FROM: j £ l
CONTACT PERSON:
INSPECTION DISCLOSED:
RESULT CODE
NOV1 INFRACTIONS
SUPERVISORS JPIT
NOV I
A - QUEENS 5 -RICHMOND
2 - BRONX 3 . BROOKLYN
BORO I . *MANHATTAN
IB < 6 Stories C Single Family
BLDG TYPE A> 6 Stories • .
E Hospital F public Owned P,opettY
D School
RESULT CODES 2 - No 'iotations Issued 3 - No Access
1 - Violation Issued ACP 3019
- Project not Started (No NOV) 5 - Project Completed (No NOV)
NYC-WTC 000127170
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NYC-WTC_000127170Source: NYC Law Department, mirrored locally