PAGE 1 OF
ASBESTOSINSPECTION REPORT
INSPECTION DATE
STREET
REMISE NO
O~
l _ teoRo coDE BLoDK ►,vr 1souAv r BADGE r
~TD~n
PHOTOS TAKEN YES I NO
BLDG TYPE BASIS OF INSPECT ~y
( ~6 MN fl-
R
Nov Lur~ t'PJ SAMPLE NO.
ONTR CTORS NAME 2at_
t gf.L SAMPLE NO.
~~ _
/A CITY t 1 A_Ct
DRa
d Q JJg RSVP+
$AMPLE NO.
ZIP ` 1 PHON
STATE 3 b
QWN S NAME
LABOgATQRY NAME Y ~~ £ L Ir ~1?~ILQ P ~L-J — a 4
ADDRESS CITY
CITY
N
STATE ZIP PHONE
STATE ZIP l y~
VO 9fL ZZ r ~~ TO: ? Cfl am(
TIME OF INSPECTION FROM:
CONTACT PERSON:
INSPECTION DISCLOSED:
Al
r LS
RESULT CODE
NOV r INFRACTIONS
ERVIS S INITIALS
NOV r
5 RICHMOND
3 • BROOKLYN 4 • QUEENS
BORO 1 • MANHATTAN 2 • BRONX
C Single Family
BLDG TYPE A > 6 Stories B < 6 Stories
F Public Owned Property
D School E Hospital
2 . No Violations Issued 3 - No Access
RESULT CODES 1 - Violation Issued ACP 309'2
5 = Project Completed (No NOV)
A - Project not Started (No NOV)
r1
NYC-WTC 000127248
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NYC-WTC_000127248Source: NYC Law Department, mirrored locally