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Document / 2 pages

Residential cleaning request form, May 2002

Machine-extracted title · confidence 85%

Request for DEP apartment cleaning and monitoring work under federal disaster relief program with EPA oversight.

NYC-WTC_000108016–000108017
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Scanned page image, NYC-WTC_000108017
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NYC 9/11 Public Portal Document

to the commencement of the Cleaning Work. 11.A security guard will be posted at the main entrance to 125 Cedar Street throughout the duration of the Cleaning Work in the Building. 12. By signing this Request Form, I am not waiving any claims with regard to the safety or habitability of the Residence, even after the completion of the Cleaning Work. 13. I recognize that the Clearance Criteria to be used to determine when the Cleaning Work has been completed an those that have been established by EPA for cleanup activities resulting from the collapse of the World Trade Center. The Clearance Criteria are set forth in the "Monitoring Contractor - Scope of Work for 125 Cedar Street, Manhattan" at page 4. ----- -----------------,

PII -.-. _ ----- ate ---------------------- -----------------------P I -- Name {Print)

NYC-WTC 000108017

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NYC-WTC_000108017Source: NYC Law Department, mirrored locally

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