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Document / 17 pages

IAQ referral form regarding WTC site

Machine-extracted title · confidence 95%

Blank or partially filled form for recording an indoor air quality complaint at the World Trade Center site.

NYC-WTC_000147764–000147780

Folder label: “IAQ REFERRALS TO EPA”

Page image
Scanned page image, NYC-WTC_000147773
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Name of Operator Wy Lo Category: (circle one) Environment Specific Contaminant MU LiLil Lee C Cleaning School vate: LAM Gime: LF 2 Prat Health NODO. fe D Lit lf 0 Ulta Ld Ma} WLLL fA LA G- VA . LA [Léa tt[it» wala the dei AA J Yafpy 7 Viti LA Lb / 3 pith: Lp LEE td L DD tide 2 ag bwin? fuleg “anny ttt Jb tll 22 tile LE Le thie il: j(-_Adludt VF. ti. Liza \ ZA Lie i ban Gpreden eof Y LE Aa, /, YA, ML kh LL ie LAL Z3 Lie 4 / MME, VB We Caller Information: First Name: P l I Address 1: Address 2: llr SLL: OZ. 4 V4 City State: Zip: Phone #1 P l l Follow up: Referral/Follow-Up Needed? (circle one) Referral Agency/Organization: Phone #2 ( ) _— DEP Reference # NYC-WTC_000147773

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NYC-WTC_000147773Source: NYC Law Department, mirrored locally

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