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DEP cleaning and health referral form, database entry

Machine-extracted title · confidence 90%

DEP intake form documenting cleaning and health-related referral with operator information, call details, and follow-up classification for database entry.

NYC-WTC_000147114–000147115

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

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Scanned page image, NYC-WTC_000147115
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NYC 9/11 Public Portal Document

NYC.DEP 69-17 Junalon Blva. Corona, NY 11368 Service Request Inspection Detell (718)DeP-HH.P Fax (718)S08-«JS8

Report DatB 03/iae002 02:14 PM Submitted By Pagel

: Service# 421846 Prebitffl BWTCH WTC RELATED (HOT LINE) Addrese 366 SEND AVE 1 10280 : Crew Stnwte ALBANY ST UBERTYST Cempaaa Dtraetton BuOdlnglD 19899 n«ek CWie «MBD 191

Leoatlon Ana DIetrtot SidhAraa 101 Parcel

•of Cane 1 DurallofiofCaU 00:00 Can Dau oanaooia 12:8a Taken 7149 MAYFIELD, CHERELLE ReatreneffalUty BHZ BANHAZMAT (AIR.NO18E,HAZ.MAT) Prioriiy Sehsduled Dau Start Dele Knpector inspsotioit iMttt Dea Dato □ NoWerkOrden Raeulrod Heeolutlon Code Reaaluthm Otoe Aaaat Avg tnap Puratton □ CuatonorConlaslReq AvgIrwpOive 0 Budget* AvgInapHre 0 Arg Inep Mine 0

PrsUam Ojinmento THE OWNER HAS INDICATED TO DEP THAT EXTENSIVE AIR ANO BULK SAMPLING HAIC OCCURED (NONE OP THE RESULTS INDICATED THE PRESENCE OF ASBESTOS CONTAININQ MATERIAL},

REF6RREO TO ASBESTOS UNIT FOR APPROPRIATE ACTION.

M—S Leet Nams Tttb MS FlmtNBrae,MI 1 Addreee PH city. StoiBiPravInea, ZIWPC □ Foreign DeyPhetw Retonmeee PH evanlngPlwne Con Bate 03M8«C0212:52

CeUvrCommwiti CONCERNED ABOUT BLACK DUST IN THE APARTMENT. WOULD UKE TO HAVE IT CHECKED. ;5i T ...' 4

Them Bie no work entara tor (M* aeraiee iHuiwer

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Thore are no 889018

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NYC-WTC_000147115Source: NYC Law Department, mirrored locally

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