NYC 9/11 Public Portal Document
PAGE 1 OF
ASBESTOS INSPECTION REPORT
PREMISE NQ STREET PP fl QA'E
S C— e s i
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FLOOR DP BORO CODE BLOCK LOT SQUAD BADGE#
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1 E R
N1i4 P LtrnP i BLDG TYPE BAsls OF INSPECT. ^ fJ , , ~ O
ii
M ~~ PHOTOS TAKEN YES I NO
CONTRACTORS NAME t SAMPLE N`QJ"`
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A ORE ^ ~ g CITY W A -1 1 SAMPLE NQ
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STATE ~ j ZIP t ' 3 PHON 17g - ~ D SAMPLE NQ
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LABORATORY NAME OWNERS NAME
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ADORE E S i CITY N ADDRESS CITY
STATE _
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i bo O ZZ—o p
STATE ZIP PHONE
CONTACT PERSON: TIME OF INSPECTION FROM: r 5 pm TO:/ 30 wn
1
INSPECTION DISCLOSED:
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tA
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.
• ZL
Nov a INFRACTIONS RESULT CODE
NOV a
SUPERVISORS INITIALS
Vv
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A> 6 Stories B C 6 Stories C Single Family
D School E Hospital F Public Owned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 - No Access
4 - Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30i13
NYC-WTC 000127313
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