NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NQ • STREET I
1 '43) C 1~ A-M-8 S s 1 €-E-
ZIP BORO CODE BLOCK COT SQUAD a BADGE 0
`1- 1 t o 1 D Ln
CONTRACTORS NAME
f LIBITN I
t /f f L
4
c .
BLDG PE BASIS OF INSPECT. r
_ SAMPLE
f , ,
INN
O r PHOTOS TAKEN YES I NO
C 2.
A DRESS A `a A CITY SAMPLE NQ
STATE ZIP ` 3 PHON SAMPLE NQ
1 _~D
LABORATORY NAME l O RS NAME
w I¼ jjSY A €..L ,aQLrts PC "-b C L A &o c
ADpRES E• S i CITY N A DRE CITY
STATE _ t ZIP l b o STATE VP ONE
CONTACT PERSON: TIME OF INSPECTION FROM: g. pm To 10 cr4 ,pm
INSPECTION DISCLOSE
t'+-
cLLc a
NOV a INFRACTIONS RESUt7 CODE
NOV
a SUPERV S INITIALS
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - OUEENS 5 -RICHMOND
BLDG TYPE A > 0 Stories S <S Stories C Single Family
D School E Hospital F Public Owned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 - No Access
A - Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 309;
NYC-WTC 000127247
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