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← Document results/DEP Box 48/88 PINE STREET Block: 38 Lot: 17 BIN: 1000876 153 Water St, 136-154 Front St, 138-144 Maiden Lane
Document / 158 pages

Air quality and dust composition lab report, 88 Pine Street,

Machine-extracted title · confidence 95%

Laboratory report detailing air sampling and dust analysis conducted at 88 Pine Street from September 13 to 21, 2001.

NYC-WTC_000120388–000120545

Folder label: “88 PINE STREET Block: 38 Lot: 17 BIN: 1000876 153 Water St, 136-154 Front St, 138-144 Maiden Lane

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Scanned page image, NYC-WTC_000120451
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NYC 9/11 Public Portal Document

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CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PR[nECflON • ALAU a D VP.D I 4TA1 fl1 A l quo c.10a~@rt Afl[T7Oi CO^4TIiol ►POCJIAM - D.A C M.I) CO T CAnON UN" RAT?. T1ON•OIAZVA/LLRNfA0R Apa ►m1NY

APFUCA71ON FOR ASBESTOS V4MnCA3OR AND RESTRICTED ASBESTOS INVESI1GATOR CENT LFJCAflON

► •► • i '~ • • 1 •i

1 HOME ADDRESS:

CITY, STATE. & ZIP.

TELEPHONE NUME

DATE OF BIRTH:

SOCIAL SECURITY

BASED UPON THE MEDICAL EXAMINATION WHICH INCLUDED PULMONARY FUNCTION TESTS OF VITAL CAPACITY (FVC) AND FORCED EXPIRATORY VOLUME AT ONE SECOND (FEV1). AND AN EVALUATION OF A RECENT CHEST ROENTGENOGRAM, IT IS MY OPINION THAT_THE ABOVE NAMED PATIENT tPLEASE CHECK N) APPROPRIATE BOXI

ld - 0 IS NOT PHYSICALLY QUALIFIED TO WEAR A RESPIRATOR IN THE PERFORMANCE OF HIS/HER JOB. U

) 2 C) PRINT NAME OF PHYSICIAN DATE OF EXAMINATION

SIGNATURE OF PHYSICIAN ADDRESS

STATE LICENSE NUMBER TELEPHONE NUMBER DEA; _+ T=: QJ 4^ NYC-WTC 000120451

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NYC-WTC_000120451Source: NYC Law Department, mirrored locally

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