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Document / 2 pages

DEP environmental referral form, June, indoor air

Machine-extracted title · confidence 90%

Handwritten referral intake form dated June with indoor air environmental category and operator contact information.

NYC-WTC_000147094–000147095

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

Page image
Scanned page image, NYC-WTC_000147095
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document | WE Name of Operator Race Market vate: Yhshy vie Lis Pm . yf ed Category: (circle one) Cleaning Health Indoor Air Specific Contaminant School Old wre Other__ Question: Would Lily jesse ta He Ethae Ea: PoP nactuelen hath ad Lot leh we Wedd eps Ted. dit plas 5 Lead lad Nae Pll |__ tartane,__ Pil ( Gaiteneny address 1: 345 Cantl. End Mvewe. _ Apt Rouse Address 2: City . - State: Zip: Phone “ Pll Phone #2 (__) Cult pho) Folon ui RwitH Referral/Follow-Up Needed? (circle * 1 NO Hs san L Referral Agency/Organization: . 43400 4 Uh3la DEP Reference # NYC-WTC_000147095

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NYC-WTC_000147095Source: NYC Law Department, mirrored locally

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