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← Document results/DEP Box 09/DEP REFERRALS/F4 Entered in Database (1-2)
Document / 4 pages

DEP referral form for WTC site with follow-up status, undated

Machine-extracted title · confidence 95%

Form recording a DEP referral and a 'Yes' follow-up decision regarding conditions at the World Trade Center.

NYC-WTC_000147171–000147174

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

Page image
Scanned page image, NYC-WTC_000147172
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

/W X Name of Operator Date:-^ 1^^^ 2^ Time:.-^.;. Q

Category: (circle one) '

Environment Cleaning Health

Specific Contaminant School Other

,

J^S^-'Vltp ft >lyVi>^/LA/VV^, 4-4-0 -P /HlZ/t oi W ftl IxJg « aAA ItZ u M Answer: Lx^ y.j)- Comments; // -

14/l/T^ "1/1

CaUeiJnformation:

First Name: Last Name:

Address 1: Apt

Address 2:

City State: Zip:

Phone #1 () Phone #2 ()

Follow upt

Referral/Follow-Up Needed? (circle one) YES

Referral Agency/Organization: X DEP Reference #

NYC-WTC_000147172

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

NYC-WTC_000147172Source: NYC Law Department, mirrored locally

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