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← Document results/GRM 011339086 - BOX 13/DEP REFERRALS/F4 Entered in Database (1-2)
Document / 4 pages

DEP Cleaning Referral Form, WTC Site

Machine-extracted title · confidence 85%

Referral form recording cleaning category concerns at the World Trade Center site.

NYC-WTC_000147019–000147022

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

Page image
Scanned page image, NYC-WTC_000147021
OCR text

OCR status: ocr · source: ours

ap BORE — PLE tee , | CST | 4528 Name Be 4" . o~ Time| [yer ) he Category: (circle one) Environment Cleaning Health Specific Contaminant School Old wie Other amis ter JL Le fo C bE PA, plow £8 Ledeen tA Ansusti DP TER TEST Visca ferpee* Feo _«* J28°Z5, @) Beg Z (pL LGU aire Oo MES 7 EA ib Fare aOR. VEZ LE SHE AB awa oA BE Dorf we iM (hel First Name: Address 1: __ 6 b SP He Si z= Apt Address 2: Borough: City _ State: Zip: Phone #1 P I | Phone #2 ( ) Follow up: Referral/Follow-Up Needed? (circle one) NO Ow Referral Agency/Organization: Zz MED Kk. (Cho DEP Reference # Kid. PH fo NYC-WTC_000147021

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

NYC-WTC_000147021Source: NYC Law Department, mirrored locally

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