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Document / 3 pages

DEP Operator Referral Form for Health Category at WTC

Machine-extracted title · confidence 90%

Handwritten referral form recording operator details and health category concerns at the World Trade Center site.

NYC-WTC_000146982–000146984

Folder label: “DEP REFERRALS/F4 Entered in Database (1-2)”

Page image
Scanned page image, NYC-WTC_000146983
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of Operator. fh^vwLj'Hi; Date: X Time:

Category; (cirde one) --— Cleaning Health Indoor Air y Environment School OldWTC Other___ Specific Contaminant

W> Hl- g.l.i»e. ----- <Guv~ 3f0 SkU«u) Xx1>- ^l3t ^ktPMl t-r^4- H CJ<A. 6cli iQ"^ d., —

Aik, J- tn-e. tfaf- U H cJLl^,--------------------

Caller Information; .1. PH First Name: '- y - ^.>^^,-0—^ ,.^---- - ----------------------------

Address 1: 358 OL gK^ ap<L_p» Borough: Address!: stale: _!iyX Zip: City

Phone #i ........ Pli......... Phone #2 (____ )

Follow up; BvrcH Rfiferral/Follow-Up Needed? (circle one) YES NO

Referral Agency/Organization:

DEP Reference #

NYC-WTC_000146983

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

NYC-WTC_000146983Source: NYC Law Department, mirrored locally

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