NYC 9/11 Public Portal Document
n n«e: i/Z/sfinn^ 1^^^
Name of Operator hikTu/i-
Category: (circle one)
Environment Health Indoor Air
Specific Contaminant School Other
lAil/ittAi~/n CaTjii) I'J^'-U
cjjjldt^ljnAn fiAc 6// /yQ
_
^SSZzSZSZZZ a y) ■_____________________________ __
0 /
First Name: Pll Last Namei,
_____________ ___ -------
Pll
Address 1:. 0^4 dWAMn Apt
Address 2: ________ _______________________________ Borough:
-c^^sUX
City. State:. n7 Zip:
Phone #1 Pll n/- *13.71.
Follow op: •f/nb
Referral/Follow-Up Needed? (circle one) NO
Referral Agency/Organization:
DEP Reference # _ _______________________________ ‘_________
6fy<4JtihS
ft- Th’ HA. J
MfT/4-^C J, UtXiwX u
NYC-VVTC_000147181
OCR can misread numbers and units. Confirm readings against the page image before using them.