NYC 9/11 Public Portal Document
PAGE I OF
ASBESTOS INSPECTION REPORT
PREMISE NQ STREET Ni DATE
FU9R ZIP BORO CODE ti{.00K LOT SOUAD 0 BADGE I
t4 1 4 I t I ADtt
P LitmP; BLDG TYPE BASIS OF INSPECT. ^
O (V1r,~Y
PHOTOS TAKEN YES! NO
CONTRACTORS NAME Cs ' t -L SAMPLE NQ
fL In
ADDRESR _ _ CITY _ .-~.. v SAMPLE NQ
ZIP ` PHON SAMPLE NQ
STATE
3
LABO A RY NAME ` OWNERS NAME
w ,t tee.2 p. t ns P € - ri-eac
ADORE .E • 4 CITY N • ADDRESS CITY
ct sr
STATE ZIP l b 0 0 ~~ 0 STATE ZIP PHONE
j
CONTACT PERSON V TIME OF INSPECTION FROM:' f O1 pm T0./ o am
INSPECTION DISCLOSED:
0
NOV I INFRACTIONS RESULT CODE
NOV
F SUPERVISORS IN ALS
Vv
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A> S Storks i B CS Stories C Single Family
O 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) S - Project Completed (No NOV) ACP 3693
s '
NYC-WTC 000127326
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