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WTC debris complaint intake form, Sept 2001

Machine-extracted title · confidence 95%

Form used by the DEP to log resident complaints regarding cleaning or health issues related to World Trade Center dust.

NYC-WTC_000142625

Folder label: “DEP 59.17 Junction Blvd, 11th FL

Page image
Scanned page image, NYC-WTC_000142625
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Date: Time:. Name of Operator

Category; (circle one) Cleaning Health Indoor Ait Bnvizonment School OldWTC Other___ Specific Contaminant

Question:

Answer:

CnmpaentBt

Last Name: First Name: Apt. Address 1: Borough: Address!: State: Zip: City Phone #2 (____ ) Phone #l t J

Follow up; Referral/Pollow-Up Needed? (circle one) YES NO

Referral Agency/Organization:

DEP Reference #

NYC-WTC_000142625

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000142625Source: NYC Law Department, mirrored locally

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