NYC 9/11 Public Portal Document
A-17 (3/88) H1-880294-R25 INVESTIGATION OF COMPLAINT REPORT □ INTERIM REPORT
B-FWAL REPORT
DIV. BATT. CO. D.O.
COMPLAINT COMPLAINT A.M.
NUMBER DATE REC’D / -^/^^TIME RM.
HOW RECEIVED: □VERBAL □card-letter □ BUR. OF F. P. Q01§P. □ OTHER
7 RORO ZIP CODE
PREMISES LOCATION
Bldg. Owner Name. Type of Occupancy/ Bldg.
Bldg. Agent Construction Height
Occupant Name of Officer (If Corp.) Title
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
4 DEFECTIVE OIL BURNER
5 REQUIRED SELF CLOSING DOOR — DEFECTS
6 EXITS — BULKHEAD FIS 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
m>0-CAUSE FOR
ACTION TAKEN: □V.O. ISSUED □A-S □ special report □summons ISSUED
COMPLAINT
REMARKS:________________ ________________________________________________________________________
___________
INVESTIGATED BY:
SIGNED RANK UNIT DATE
OFFICER ON DUTY RANK UNIT ,,7/EZ^.. . group
BATTALION CHIEF BATT. GROUP DATE I__ L
DEPUTY CHIEF DIV. GROUP DATE 1__ L
ENTRIES: LEGIBLY PRINTED, USING BALL POINT PEN OR TYPEWRITER
NYC-WTC_000169180
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