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← Document results/DEP Box 09/IAQ REFERRALS TO EPA
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_000147770
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Date: Time:. Name of Operator

rategorv: (circle one) Cleaning Health Indoor Air Environment School OldWTC Specific Contaminant

OxMStlon;

6;

/7v- Z/X-O,

Cniter infOrmnfiont PH Last Name: Pll First Name: Apt. Pll Address 1: Borough: Address!:__ __ State: ^L. City —- m, nt Pil Phone #2 (____ )

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

Referral Agency/Organization;

DEP Reference #

NYC-WTC_000147770

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

NYC-WTC_000147770Source: NYC Law Department, mirrored locally

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