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DEP Cleaning or Health Referral Form, Old WTC Site

Machine-extracted title · confidence 90%

DEP referral form with handwritten comments and selections for cleaning or health categories at the Old World Trade Center.

NYC-WTC_000147119–000147121

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

Page image
Scanned page image, NYC-WTC_000147119
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

m’? Name of Opaator _*___—--------- —---------- -----------

Cuttworv; (circle one) Cleanit^ Health Indoor Air Environment School OldWTC Other Specific Contaminant

Question;

___ Oo1^jQa< cLlUl>r-^^lAr— *L- ■£*•* VkJ^ H Ajutv- k-AiCLftf-t^ /Xr-d cL-tniTMa <^4

NLdAATf / AnsasEi

^61 /

Cnmments; C-T^ fj 6<ej <LujJ

't- Ov. ■ ruc^ 4L Ku X^kxA-

roller Information; Pll Last Name:! Pll First Name:----

Address 1: i Pll AptJ Pll Address 2: Borou^: J21^ State: ___ Zip: _________ City___

Phone #11 PH Phnne#2toa

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

Referral Agency/Organization:

DEP Reference#

NYC-WTC_000147119

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000147119Source: NYC Law Department, mirrored locally

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