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← Document results/GRM 011339086 - BOX 13/IAQ REFERRALS TO EPA
Document / 19 pages

DEP IAQ Referral Form to EPA, Apr 2002

Machine-extracted title · confidence 85%

Referral form noting health concerns related to air monitoring results at a specific location.

NYC-WTC_000147722–000147740

Folder label: “IAQ REFERRALS TO EPA”

Page image
Scanned page image, NYC-WTC_000147722
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document wit Name of Operator Td G, tal Date: LUD Time: 3 ir 6 * Category: (circle one) Bw Environment Cleaning Health (_ isbeiAy) Specific Contaminant School Old WTC Other Question; Mk Morujokile Késuczs Foe WR LocrT rors -__ Pil 7 Pil _— DEP with Get Back ro you, ZO AER Bee wes fille env Lage Foe PIl - = SY Hei re Ena oo Ler PE Jyvac. C HAT Fea a L SA AG fofp Co#AY J Comments: Thanh S LD? Peal Caller Information: ' First Namenexacemecnceh Last Name: _ = _ Address 1:__ 3 Y CALM ELGER. Sr Apt Pil Address 2: ani Borough: __“7 City ___ State: Zip: Fs SOS S Phone #1 eseaey Pll poree-t Phone #2(___) _— : ; jo? Saran: y yo No Lin > Referral/Follow-Up Needed? (circle one) , NO Ab Referral Agency/Organization: DEP Reference # NYC-WTC_000147722

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NYC-WTC_000147722Source: NYC Law Department, mirrored locally

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