NYC 9/11 Public Portal Document
A-17 (3/88) H1.B80294 R26 INVESTIGATION OF COMPLAINT REPORT □ INTERIM REPORT
□ FINAL REPORT
DIV. BATT. CO. D.O. X
COMPLAINT COMPLAINT A.M.
4 1 R 4.10
4 NUMBER___ DATE REC’D / / TIME P.M.
02 06 91 1100
HOW RECEIVED: □ VERBAL □CARD-LETTER UBUR. OF F.P. □ disp. Oother
XX
PREMISES LOCATION BORO. ZIP CODE _________
7 i J-* *
Bldg. Owner Name...... ........ ....... ,. ......________ Type of Occupancy/ Bldg.
cofaCTICAr
Construction Height Area
Bldg. Agent t rr 246x1bb
Name of Officer (If Corp.) ,. Title..... ...............
Occupant
Mailing Address Boro. Zip Code
Complainant's Name Telephone.
Complainant’s Address Boro. Zip Code
ITEM FILL IN ROOM/
NO. ITEM NO. NATURE OF COMPLAINT FLOOR LOCATION
1 RUBBISH — COMBUSTIBLE
2 CERTIFICATE OF FITNESS REQUIREMENTS
3 INCINERATOR CLOGGED/DEFECTIVE 27 Jii .t OUT
4 DEFECTIVE OIL BURNER
5 REQUIRED SELF CLOSING DOOR — DEFECTS
6 EXITS — BULKHEAD BHM'RS LOCKED
7 BLOCKED — OBSTRUCTED EXITS/HALLS___________
8 FIRE ESCAPE OBSTRUCTIONS_____________________
9 DEFECTIVE ELECTRICAL FIXTURES/OUTLETS/WIRING
10 WATER LEAKS (NEAR ELECTRIC WIRING/FIXTURES)
11 VACANT BUILDING (BOARD UP) ______________
12 LIGHTING IN HALLWAY/STAIRS_______ _____________
13 ILLEGAL OCCUPANCY
TT TT thru out
ACTION TAKEN: DVO. ISSUED LJA-8 OSPECIAL REPORT HSUMMONS ISSUED n NO CAUSE FOR
3^ COMPLAINT
REMARKS:
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INVESTIGATED
SIGN ______________ RANK UNIT DATE_ / /
02 06 91
OFFICER ON DUTY ... RANK _______ UNIT GROUP
V EMU T9
BATTALION CHIEF BATT. GROUP DATE L/
T
DEPUTY CHIEF ____ DIV. GROUP DATE 1/
ENTRIES; LEGIBLY PRINTED, USING BALL POINT PEN OR TYPEWRITER 1
NYC-WTC_000166018
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