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← Document results/DEP Box 09/IAQ REFERRALS TO EPA
Document / 2 pages

WTC Hotline intake form for EPA referrals

Machine-extracted title · confidence 100%

Blank form used by operators to record caller details and environmental concerns for EPA referrals.

NYC-WTC_000147718–000147719

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147718
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

6>

Name of Operator_ _______________ Date:_________ r Category: (circle one)

Environment Cleaning Health

Specific Contaminant School OldWTC Other

i

■•Arc Answer; -I

Comments:

5^- PH Caller Information;

Last Name:

Address 1: ------- Apt Pll Address 2: Borough:

City __L__ State: Zip:

Phone #L_ pii Phone #2 (____ )

Follow up;

ReferraUFollow-Up Needed? (circle one) NO

Referral Agency/Organization: 0" DEP Reference #

OY'

NYC-WTC_000147718

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NYC-WTC_000147718Source: NYC Law Department, mirrored locally

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