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DEP Referral Form, Air Quality Inquiry, Jan 2002

Machine-extracted title · confidence 87%

Form recording an inquiry regarding air quality and potential asbestos in a building near the WTC site.

NYC-WTC_000147090–000147093

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

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Scanned page image, NYC-WTC_000147092
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

**• * pa 77^ Name of Operator, Date: .Time-

Category; (circle one)

Environment Health Indoor Air

Specific Contaminant School OldWTC Other___

Z

First Name: PH Last Name: PH Address 1: Pll Apt.

Address 2: Borough:

City state:, A^ ___ Zip: Phone #1 P\\ I Phone #2 Pll

Follow up; ‘/'lih^^ \^Uetl<. Uau VVv- Referral/Follow-Up Needed? (circle one) ;fNO

Referral Agency/Organization: i^? 'Tk.:x<w^ Iz<Vaa4. Ht. DEP Reference # Gr^aU Vxt-^

NYC-WTC_000147092

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NYC-WTC_000147092Source: NYC Law Department, mirrored locally

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