NYC 9/11 Public Portal Document
Name of Operator f^A< Date: 3 Time:
Category; (circle one)
Bivironment Cleaning Health Indoor Air
Specific Contaminant School OldWTC Other
X
vAo bMlvls Ht VVe Vv^ 9o ^U)_______
WWixc t-8cc Vyu^^nUT* V-a^ (L^ tL (.JjLa^ H< LmxZcU^
JrJ-Vdu VL- _____________________ ___________________ _
Answer;
4 c€LA.h-^^~7
-Ufe- 7 Kb tti', *
Comments;
...... ...................................................................
(JIOK J 6v»«<l>»«^)
Caller ■ (TA^
First Name: PII Last Name: PH ‘^■~
Address 1: I I/a4.Ic FI^ ApJ...... PH 7^.
AddwssZ: aojtia- Borough: *
City State: l!i{_ ap:
Phone #1 pii Phone #2 (____ )
s/^tc2.
Follow up; SmTch
Referral/Follow-Up Needed? (circle one) YES NO IfVUv f?<ti kg
Referral Agency/Organization: M
DEP Reference # ^(.6^
a>4^>A. w-j. <>-
U)h
NYC-WTC_000147111
OCR can misread numbers and units. Confirm readings against the page image before using them.