NYC 9/11 Public Portal Document
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Fax: 212° 965° 1725
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MEDICAL EXAMINATION FOR RESPIRATORY PROTECTION
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SOCIAL SECURIT.
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NOT VaLiO WILHOUT
EMBOSSED SEAL
BASED UPON THE MEDICAL WHICH INCLUDES: *y
1. PULMONARY FUNCTION TESTS (SPIROMETRY) OF FORCED VITAL CAPACITY (FVC). FORCED VITAL
CAPACITY (FVC). FORCED EXPURATORY VOLUME AT ONE SECOND (FEVI) AND INTERPRETATION.
A CHEST ROENTGENOGRAM, TWO (2) VIEWS AND RADIOLOGICAL SERVICES PROVIDED BY A
QUALIFIED INTERPRETER.
3. MEDICAL HISTORY . .
4 A PHYSICAL EXAMINATION DULECTED TO THE PULMON AND GASTROINTESTIN AL SYSTEMS
INCLUDING BUT NOT LIMITED TO EIGHT, WEIGHT, BL D PRESSURE, PULSE AND RESPIRATLO’
IT 1S MY OPINION THAT THE ABOVE NAMED PATIENT {S OR [§ NOT PHYSICALLY QUALIFIED TO
WEAR A RESPIRATOR IN THE PERFORMANCE OF HIS/HLER JOB:
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‘ DISPOSITION: QUALIFIED or
SPIROMETER: anal CHEST X-RAY: A
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NYC-WTC_000120459
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000120459Source: NYC Law Department, mirrored locally
Technical report by Precision Testing & Balancing documenting the testing and balancing of existing supply air systems at the Mayor's Office of Emergency Management dated February…