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Document / 2 pages

IAQ referral form regarding WTC site

Machine-extracted title · confidence 93%

Form recording a specific indoor air quality issue at the World Trade Center site for EPA review.

NYC-WTC_000147754–000147755

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147754
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document ee See eee [3922 Sttedo IBA? ™ gup 2" Name of Operator Date: Time: Category: (circle one) Cleaning { A GP? Specific Contaminant School Other \ndaor Por Question: VEX 2 be: Lol Ads on ae IH, 42) Ache a Siew. béaH bey LECES OF BSBE/ Rf — 248 JE 7>_ CHECK Answer: CHE wire REFEL 7 JE 1 Ao A2tf. Dob) Pret. BegC- ALL Gore Caller Information: First Name: 3 Pil Last Name: P address: 7K Ae ete LAs ag Pil Address 2: City __ State: Zip: / ao es Phone # Pll Pion 2 Pil Cw Follow up: = J f pic 4 Referral/Follow-Up Needed? (circle one) (s) NO, Referral Agency/Organization: Zz MEAL J): Og a DEP Reference # YI $ O Py Ov. S14 f ALE f Fss2f NYC-WTC_000147754

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NYC-WTC_000147754Source: NYC Law Department, mirrored locally

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