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Invoice for asbestos sample analysis, 44 Wall Street

Machine-extracted title · confidence 100%

Invoice detailing billing for bulk and air sample analysis results including PLM, PCM, and TEM testing at 44 Wall Street.

NYC-WTC_000094912–000095002

Folder label: “44 WALL STREET Block: 43 Lot: 1

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Scanned page image, NYC-WTC_000094975
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document FROM:: Teresa % Andrew PHONE NO. : 718+456 5389 pug Gat) 965-1730 - | _ -SMASON TENDERS TRAINING FUND 15 Varick Street,'Suite 501 : New York, NY 10013-1917 « Ge Fp ne ° APPLICANTS NAME: PROMS CUA, et MRA woe anpress:__ G9 ~22 COOPER” AV CL EIVOALE hy ML TELEPHONE NO.: —_— DATE OF BIRTH: ; P ; ; a SOCIAL SECURIT: , “oe J BASED UPON THE MEDICAL WHICH INCLUDES: 1. PULMONARY FUNCTION TESTS (SPIROMETRY) OF FORCED VITAL CAPACITY (FVC), FORCED VITAL CAPACITY {FVC), FORCED EXPIRATORY VOLUME AT ONE SECOND (FEVT) AND INTERPRETATION, —7 2, A CHEST ROENTGENOGAAM, TWO (2) VIEW - 3, MEDICAL HISTORY ; os o 4, A PHYSICAL EXAMINATION DIRECTED TO THE PULMONARY AND GASTROINTESTINAL SYSTEMS - INCLUDING BLT NOT LOVOTED TO HEIGHT. WEIGHT. a PULSE AND RESPIRATION. (TS MY OPINION THAT THE ABOVE NAMED PATIENT SS ORIS NOT __. PHYSICALLY QUALIFIED TO" WEAR A RESPIRATOR IN THE PERFORMANCE OF Hi: RER JOB: HT. 44 WT. Jasth B?. “, 71, ¢? DISPOSITION: QUALSIED 7. QUALIFIED WITH REFERRAL UNQUALIFIED SPROMETER: _ Aan. cust aay: Yer ’ L. SISON MO. _ WC, #194670-1 . Q7/0 /. NAME GF PHYSICIAN DATE OF ATION i. Lok Cs oe 88 Naasau Ave. Brooklyn, N.Y. 11222 SIGNATURE OF PHYSICIAN ADORESS OF PHYSICIAN LSBON MD. STATE LICENSE NUMBER NYC-WTC_000094975 . 13 2081 81:45PM PB

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NYC-WTC_000094975Source: NYC Law Department, mirrored locally

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