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

IAQ referral form submitted to EPA

Machine-extracted title · confidence 93%

Form documenting an indoor air quality complaint at the World Trade Center site submitted to the EPA.

NYC-WTC_000147783–000147786

Folder label: “IAQ REFERRALS TO EPA”

Page image
Scanned page image, NYC-WTC_000147783
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of Operator Date: Time:

Category: (circle one)

nvironment Cleaning Health

Specific Contaminant School Other

Ouestion: •) -::L/ Z- -- c5 2

PII Answer: _ 71_ C7c-.-4_ 5— C".z; -- LL 3-I4" 'z1 h' - crM Lrd &i ____

Comments: /1%/& v'- I--4? ~-, iii ,, 1 • ~ ~i~r/f > ~- ~

Caller Information;._._._._._._._._._._._._._._._._._._

First Name: '__________ PII __________ LastName:

Address 1: i6 'J G Aptj- - P11

Address 2:

City 2 _._._._._._._.T.,~. ._.State: Zip:

Phone # 1 P II Phone #2 ( )

Follow up:

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

Referral Agency/Organization:

DEP Reference #

NYC-WTC 000147783

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

NYC-WTC_000147783Source: NYC Law Department, mirrored locally

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