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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_000147728
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of Operator Date: 5/42,_ 2 Time:/ . A

Category: (circle one

Environ nt Cleaning Health

Specific Contaminant School Other

uestion•

Comments:

. Caller Informati9n: 11 First Name ; __ ______________________ P11 Last Name: ,

Address 1: / Apt; PI I ._._._._.. Address 2:

City State: _ Zip: - Phone #1 '~._._._._._._._. P11 . . Phone #2 (.

Follow up:

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

Referral Agency/Organization:

DEP Reference #

NYC-WTC 000147728

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

NYC-WTC_000147728Source: NYC Law Department, mirrored locally

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