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DEP environmental referral form, air or other category

Machine-extracted title · confidence 90%

Intake form documenting environmental referral with category selection for air quality or other environmental concerns and operator information.

NYC-WTC_000147079

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

Page image
Scanned page image, NYC-WTC_000147079
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of Operator Date: Time: U

Category; (circle one) Environment Cleaning Health Indoor Air t

Spt ;ific Contaminant School OldWTC Other___

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Caller Information; f S Couuxvutl. <UyUu4<' First Name; Pll Last Name: PH Address PH Apt. Address 2: __________________________ Borough: Stete:^*^ ^inU^ Zip:O?*^^4' City QW

Phone# Pli _ Phone #2 {____ )____________

Follow up; Referral/Follow-Up Needed? (circle one) (yES^ NO

Referral Agency/Organization:

DEP Reference #

NYC-WTC_000147079

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NYC-WTC_000147079Source: NYC Law Department, mirrored locally

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