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IAQ referral form for WTC building

Machine-extracted title · confidence 94%

Form documenting an indoor air quality complaint at the World Trade Center site with follow-up status.

NYC-WTC_000147756

Folder label: “IAQ REFERRALS TO EPA

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Scanned page image, NYC-WTC_000147756
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Areas ean _ a Name of Operator Date: Time: mn “enb Category: (circle one) ca. environment Cleaning Health Indoor Air Specific Contaminant School Old wrc Other ___ oust Sl EBRPWLAT And Serve QTY. BK gr CHEK OF bx 2) — bl LEER. Zo 062 Somme Le AL. oF SPR, QE LAY OT All PACA SIE LEA Peon antl Caller Information: Z ‘2 = 7 ; Pil - First Name! sos Pil Last Name: =a - . Golfer. sain Didier fe. Pil Ea Address 2: Borough: City - : State: Zip: 7 = = / COS > Pll Phone #1 nt ana ; Phone #2 ( ). Follow up: Referral/Follow-Up Needed? (circle one) YES NO Referral Agency/Organization: __€ C “oO f Cff : DEP Reference # SESS OD Q APTE, AS re Wd fe Pe. OEP Ad POSTE — Coe Sate, AIMED At“ SH SMD IT? AES Dee Beley MBF dea, arg Gee FPA AE HER Fee NYC-WTC_000147756

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NYC-WTC_000147756Source: NYC Law Department, mirrored locally

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