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← Document results/GRM 011339086 - BOX 13/DEP REFERRALS/F4 Entered in Database (1-2)
Document / 2 pages

DEP referral form concerning Old WTC, undated

Machine-extracted title · confidence 95%

Form documenting a DEP referral related to conditions at the Old World Trade Center site.

NYC-WTC_000147140–000147141

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

Page image
Scanned page image, NYC-WTC_000147140
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

G' /1 Name of Operator_______________ Date: Time:

Category: (circle one)

Environment Cleaning Health Indoor Air

Specific Contaminant School Old WC Other

IV

D

P11 PII -.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.- Pii Ca ler~ipation• Inf P P ii ._._._._._._._._._._._._._._._._._._._._._._._._._._._ Fast Name ._._._._. P11 — Last Name: I I

Address 1: Apt_____

Address 2: Borough:

City / /üt1- State: Zip:

Phone #1 P11 Phone #2 ( )

Follow uo: 31)..G/ - 6k Zh I't8~~hti4~—

Referral/Follow-Up Needed? (circle one) (j5 NO

Referral Agency/Organization: EP '

DEP Reference # q 8 _I l 1

NYC-WTC 000147140

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

NYC-WTC_000147140Source: NYC Law Department, mirrored locally

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