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Document / 4 pages

DEP IAQ Referral Form to EPA, Apr 2002

Machine-extracted title · confidence 90%

Form recording a referral to the EPA regarding indoor air quality concerns at a World Trade Center location.

NYC-WTC_000147711–000147714

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147714
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of Operator _2Z__________________ Date:. Time:.

Category; (circle one)

Environment Cleaning Health Indoor Air

Specific Contaminant School OldWTC Other

Questipn:

Answer;

Caller Information;

First Name: Last Name: (f Address 1: _<

Address 2: _ Pll Borough:

City 7in-

Phone # Pll Phonei Pll Follow up;

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

Referral Agency/Organization:

DEP Reference #

NYC-VVTC_000147714

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

NYC-WTC_000147714Source: NYC Law Department, mirrored locally

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