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← Document results/DEP Box 09/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_000147784
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

AAlrts$ 'Z Av^b) <5+ .

Na™ of Operator Timet /

Category; (circle one)

inment Health

Specific Contaminant School Other \ An IT

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ZT Caller Information;

First Name: j PH i Last Name: PH Address 1: st____ Apt

Address 2:

City .NX 6 State: NV Zip- /O‘>% Phone #1 PH ...______ j Phon<__________ PH

Follow up;

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

Referral Agency/Organization:

NYC-WTC_000147784

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NYC-WTC_000147784Source: NYC Law Department, mirrored locally

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