BASED UPON THE MEDICAL EXAMINATION WHI INCLUDED
PULMONARY FUNCTION TESTS OF VITAL CAPACITY(FVC)
AND FORCED EXPIRATORY VOLUME AT ONE SECOND
(FEV1). AND AN'EVALUATION OF A RECENT Cl-LEST
-tUtN1 GtNOGRAM,IT IS MY OPINION THATTHE ABOVE
NAMED PATIENT(PL EA SE CHECK fc11 APPROPR/ATF BOX)
E IS NOT
PHYSICALLY QUALIFIED TO WEAR A RESPIRATOR IN THE
PERFORMANCE OF HIS/HER JOB.
HEIGHTS !II _._ WEIGHT: PHH
TOBACCO:!
X—RAY CHE
MARK I.
PRINT Nil
NYC-WTC 000120431
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NYC-WTC_000120431Source: NYC Law Department, mirrored locally