PAGE 1 OF
ASBESTOS INSPECTION REPORT
oDATE
pISPECflON
.MISS NQ
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SQUAD. BADGE I
OR ZIP BORO CODE BLOCK LOT
eras 13to 1 _ Ao L n
rte ^ 1~ p PHOTOS TAKEN YES 1 NO
BLDG TYPE BASIS OF INSPECT
SAMPLE NQ
)NTRACTORS NAME t i2Crt_
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_ SAMPLE NO
)DRESS CITY ~. I
C) O '- ~S
_ SAMPLE NQ
ZIP PHON
ATE 3
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NO ~1 STATE •` ZIP
FATE ZIP , Z. "Z.-C O Iv
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TIME OF INSPECTION FROM:
DNTACT PERSON:
RESULT CODE
NOV I INFRACTIONS
SUPERVISQRS INITIALS
NOV I
4 - QUEENS 5 -RICHMOND
BORO 1 - MANHATTAN 2 - BRONX 3 - BROOKLYN
BLDG TYPE A > 6 Stones . B < 6 Stories C Single Family
D School f Hospital F Public Owned Property
RESULT CODES 1 - Violation Issued 2 - No Violations Issued 3 - No Access
ACP
4 - Project not Started (No NOV) 5 - Protect Completed (No NOV) '
NYC-WTC 000127438
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NYC-WTC_000127438Source: NYC Law Department, mirrored locally