NYC 9/11 Public Portal Document
A-17 (3/88) Hi eao294-R25 INVESTIGATION OF COMPLAINT REPORT □ INTERIM REPORT
£ FINAL REPORT
DIV. BATT. QP- D.O.
COMPLAINT COMPLAINT A.M.
1 1 1 /'IO 1 NUMBER DATE REC’Do2_Z_q<^_94 TIME__44O0_ P.M.
HOW RECEIVED: □VERBAL □card-letter □ bur. of F.R fiDISP. □other
premises LOCATION 7 wutthi. vdAj.-. cam BORO_j,i^^ ZIP CODE
zw Bldg. Owner Name A'CTJOliriTf Type of Occupancy/Bldg.____ noWMCTTnAL
Bldg. Agent Construction, CUWi Height
Occupant Name of Officer (If Corp.) 3ILYER3TS JK
Mailing Address Boro. Zip Code
Complainant’s Name Telephone.
Complainant’s Address Boro. Zip Code
ITEM FILL IN ROOM/
ITEM NO. NATURE OF COMPLAINT LOCATION
NO. FLOOR
1 RUBBISH - COMBUSTIBLE
2 2 CERTIFICATE OF FITNESS REQUIREMENTS
23- THwn OUT
3 INCINERATOR CLOGGED/DEFECTIVE
4 DEFECTIVE OIL BURNER
5 REQUIRED SELF CLOSING DOOR - DEFECTS
6 EXITS — BULKHEAD DOORS 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
u 04
ACTION TAKEN: □V.O. ISSUED □A-S □SPECIAL REPORT □SUMMONS ISSUED, ^NO CAUSE FOR
aCOMPLAINT
REMARKS: VITP PRO ppp
WOBK A VAIilS gBBMITO, ( POaaiHLE TR/DB CON PI. TOT BWifTigK TROW tfiigWBa A.
LOCAL 3 BLBOmCAi. mCg)
INVESTIGATED BY:// ' "
SIGNED _____________ RANK
OFFICER ON DUTY RANK_i»C. UNIT^t^ GROUP
BATTALION CHIEF BATT. 4 GROUP DATE //
DEPUTY CHIEF DIV. GROUP DATE //
ENTRIES: LEGIBLY PRINTED, USING BALL POINT PEN OR TYPEWRITER 1
NYC-WTC_000169190
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