NYC 9/11 Public Portal Document
IA)
Name of Operator
My/co
Date:
Time: 5:-
Category: (circle one)
Environment
Cleaning
Health
Indoor Air
14300
Specific Contaminant
School
Old WTC
Other —
emto aller mants to know if i chen Lft
will otent clean up
ver adnaed calie that Cleaning wone start
until Mcy Bsth ana
L ania l worulde reser. andress
Do list gn epA Crennue
Comments:
Caller Information:
First Name:
ane
Address I:
Address 2:
City
Phone #1 (6
PII
State:
Follow up:
Referral/Follow-Up Needed? (circle one)
Referral Agency/Organization:.
=
DEP Reference #
- Last Name:
Дbлaтo
PII
/
Borough:
- Zip: -
Phone #2 ().
)
NO
NYC-WTC_000147713
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NYC-WTC_000147713Source: NYC Law Department, mirrored locally