NYC 9/11 Public Portal Document
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01/12/2001 15:26 7184789481 PETER PAGE 61
ROSERT C. AVALTRUM
Deputy Coaudssivne
Bureae of
Alt, Noite, & Pacardrus
wotoriats
FOR ASBESTOS GATOR ;
4 - AND oer RAD ASBESTOS INVESTIGATOR CERTIFICATION
é APPENDIX A. |
MEDICAL EXAMINATION POP ASBESTOS INVESTIOATOBS
APPLICANT NAME! —
cao PIL -—
ITY, STATE, & ZV: —
DATE OF BIRTH: Pp | | _
BASED UPON THE MEDICAL EXAMINATION WHICH INCLUDED
SRLIONARY FUNCTION TESTS OF VITAL CAPACITY (FC)
ANO FORCED EXPIRATORY VOLUME AT ONE SECOND
(FEV), AND AN EVALUATION OF A RECENT CHEST
ROENTGENOGRAM, IT 1S THAT.THE ABOVE
a) [7] 'S Not
LY QUALIFIED TO WEAR A AESPIRATOR IN THE
PERFORMANCE oF mene JOB,
nerouts: Pll beerours Pil ¢ Pll ;
an Os ob EO OLY EN Es SO OO WE Benn yy: rate a Beopnpocscoves epee woewvweeeawer nen a)? aan
Pil
NYC-WTC_000120432
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NYC-WTC_000120432Source: NYC Law Department, mirrored locally