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← Document results/GRM 011339086 - BOX 13/IAQ REFERRALS TO EPA
Document / 4 pages

IAQ Referral Form, Old WTC Site, Feb 2002

Machine-extracted title · confidence 95%

Form documenting an operator referral concerning environmental or health conditions at the Old WTC site.

NYC-WTC_000147760–000147763

Folder label: “IAQ REFERRALS TO EPA”

Page image
Scanned page image, NYC-WTC_000147760
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

/33'6 )( XA& Name of Operator // /`' ate: Time:_______

Category: (circle one)

Environment Health

Specific Contaminant School Other n DO r

Comments: Jill,, f/60' I'4e6t

6PCQ 4kL r' ? n64ec ii.kn AG f?c ,

"? 4~caG } 1✓<nl Yi c~ina,L C4h3& Caller Information: ~~~IlrlG d/n Cl : ldfid 4 - /i PnCG $'' 4 -K DII P11 P' First Name: ' Last Name: ' 1,2 Address 1: , ~ &, ~~ Apt PII ~l/l)

Address 2:

City ,,V State: Zip: rZ Phone Phone #2 ( )

PII . Follow up:

Referral/Follow-Up Needed? (circle one) E NO !J _

Referral Agency/Organization: tJ EP" tO

NYC-WTC 000147760

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NYC-WTC_000147760Source: NYC Law Department, mirrored locally

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