NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NQ STREET INSPECTION DATE
i C sT €.7
FLOOR IZIP SORO CODE I BLOCK LOT I SOUAD I 6A E
i i I I I I 4o lD
1 E R
Ns~ P L~ AI BLDG TYPE BASIS OF INSPECT. O ` t3 P190(05 TAKEN YES I NO
CONTRACTORS NAME 1 t ~1►~ , SAMPLE NQ
`
A ^ e CITY SAMPLE NQ
0 ~1 ACi
p.1~ j ZIP . 3 PNONW g SAMPLE NQ
STATE
LABORATORY NAME a OWNERS NAME
L) 'e PC o~,~,-Z
AD ES CITY N ADDRESS CITY
c Si
STATE _ . ZIP i 1. O M1C •STATE ZIP HON
CONTACT PERSON: V TIME OF INSPECTION FROM: 1 J TO c')
INSPECTION DISCLOSED:
_Q '+..a '~ 1
a
V dc-e o3-~s
NOV 1 INFRACTIONS _ RESULT CODE
NOV •
SUPERVISORS INITIALS
BORO I . MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A > 6 Storks B <5 Stories C &nab Family
D School E Hospital 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 30193
NYC-WTC 000127296
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