Premise No. Inspection Date:
44 G oL-C) -ST ET
Floor Zip Borough Block Lot Squad # Badge #
evoF I 003 E 1 7G 2s N/A A020
Inspector Building Type Basis of Inspection Photos Taken
Dennis Antzoulatos .et .L WTC Survey Yes/( )
Contractor's Name Sample Number
Benjamin Kurzban & Son Control N/A
Address - City Sample Number
1248 Ralph Avenue, Brooklyn N/A
State Zip Phone Sample Number
NY 11236 (718)531-2900 N/A
Laboratory Name Owner's Name
Warren & Panzer Engineers Inc.
Address City Address City
228 East 45 Street New York
State Zip Phone State Zip Phone
NY 10017 (212)922-0077
Contact Person Time of Inspection from:
u/A
err I LA. Sty p T~fvt t3rC
- Iz 2 T 2-
TUC- (P OF '11.1 cF Tt,+` -Fy t t Stc W h~
C.oNtix`C-TTc~~ 'ToDA%J. Ate t~1PUfsr. Fo{z -r";= C AW u? P¢oJGC- wAg
MC77 13Y QR-T11UR- C• J GTt EtZ ( C ETZTI Ft C^-r>c sk AU 9T - 06 135
E( ' c3 (c . Amt - rt(E CLE t. UI ACTtVtTI
U-) £ - Got tPLe -Tc -I>, - C~uDU -r I> A V ISUA4- (ts-PEC1 1045 OF - tLIK
*J ) t~CF Svt AC 5 O t& V ist 13 L Wt!. I1 C S.
14 UP PQ4SCZ,a A; - Mc TZzC-MlSE Is WOW CaMPt.ETC-
NYC-WTC 000128122
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000128122Source: NYC Law Department, mirrored locally