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FDNY Inspection Order form

Machine-extracted title · confidence 90%

Official order scheduling a fire safety inspection for a specific premises with account details.

NYC-WTC_000166052–000166061
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NYC 9/11 Public Portal Document

RANGEHOOD UNIT INSPECTION REPORT

Inspection Date: z ■* Account No. Folder No. Restaurant Name: Z-<5<_x

Premise Address: _____ Boro: Zip* ssssssassss: sssss :bss:sssss:s:bs:bxbssbsssssbssssssbssbssssss8ssb«xbs

Name o£ System: Model No. No. of Cylinders: E^Gals^;/Lbs. System Approved? | 1 Yes No F.D. Tag No. Type of Inspection: IQ's Initial | | Reinspection With Plans: I.O.C.: Referral: V.O. No.: Installation Conforms to Tag/Plans? ( ] Yes 0] No V.O.(s) Issued: ____________________ RH Code:

ssssssasssBsss. :8B88SSSSSSSSSSS8SSSSSSSSSSBSSSS:SSSBSBSSSSSSSSSSS8SSSSS8SSSSSSS

Approved Filters? Yes □ No Quarterly Cleaning?^^ Yes □ No Semi Annual Service By Authorized Contractor? 0^ Yes □ No Sketch / Cleaning & Operating Insructions? Yes 1 I No N.O.V.(s) Issued: No.(s) _____________________________________________ ssa:ss8ssssssssss;ass&ss8ssBsss=*sBa:ssss&ss8SSSB=sBss8»_:ssss = s = s^^ASSSAatasssxssss«ssBSSBM—B*'

Comments

/ -V-

j P/int Inspector' Nam^ /

/ In'si^cor' B N^^^

RHINSP (11/90)

NYC-WTC_000166059

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NYC-WTC_000166059Source: NYC Law Department, mirrored locally

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Official order scheduling a fire safety inspection for a specific premises with account details.

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