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Permit application Part III, health Jan 2006

Machine-extracted title · confidence 90%

Part III of a permit application dated January 10, 2006 regarding health and safety for remediation at 30 West Street.

NYC-WTC_000095781–000095833

Folder label: “30 West Broadway

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Scanned page image, NYC-WTC_000095799
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NYC 9/11 Public Portal Document

Regulatory Submittal Part III — Health & Safety Plan Fiterman Hall — 30 West Broadway, New York, New York Airtek Project 05-0867 — January l0, 2006

FIGURE 1.1 IPAGE I OF ACCIDENT-EXPt)SURE IN'V'ESTIGATION REPORT COMPANY DATE I.vrsrIcAnoN TEAN9 Eru'LGYErS NA1ts & ID SFx JUB DESCRIPITQN

DEP.ARTLENT & LoCATI)N

ACCIDENT DATE & T41IE

DATE & TL%tE-aICCIDE.IT REPOIrED TO SUPERVISOR NATURE M INCIDENT

NATURE OF INIL'RT

RII ERRED TO MIEAIcALFACIIhrv1 ()CTOR ❑ YES ❑ No

EMPLOYEE RETL'RNrDTO WORK ❑ YES DAnuTLbIE ❑ No

❑ INIuiED E1iPI.{IEEE. L\"fER[1aw STATESlI N'r - .~TrACIIED

WITNESSES

❑ 44rrNsssEsINTERVIEWS./STATEME:N'TS • iTACnnED ❑ RIOTCX;RAPt1S OF SITE - Ar r, chap

❑ DIAGRAMS OF SITE - ATTACHLD

FQUIPMENTRECORDS- ATTAU D- RF1TL itn ❑ YES ❑ Na

ACCmrNT.--EXPosvluI INCIDENT DEscRQ'TIoN

l9

NYC-WTC 000095799

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NYC-WTC_000095799Source: NYC Law Department, mirrored locally

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