NYC 9/11 Public Portal Document
ee
Category: (circle one) a”
Environment Cleaning Health Coma)
Specific Contaminant School Old WTC Other ___
oust: LL Jord Ao, ALO. URTOAET
Evel DER race OFLR
7 as
Name of Operator Date:
e
ay
Ase OW UTCED Tht rat fé fea
Se AA Pay D&jer~ FAR BBP eet.
+ JE(MRC.. Ado ahAAD_ZHEAX
Comments: . Szes —p
2 a JP ES Cow 4 Acs 7 7]
Caller Informotion:__....... a Je. SFA
Address 1: __ L235 Chiba SZ. ave Pil i nee
Address 2: Borough:
City _ State: Zip:
Phone Pil Phone #2 ( )
Follow up:
Referral/Follow-Up Needed? (circle one) (8 NO
=pa
Referral Agency/Organization: h-
: DEP Reference #
NYC-WTC_000147725
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000147725Source: NYC Law Department, mirrored locally