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Document / 7 pages

IAQ referral form regarding WTC site

Machine-extracted title · confidence 92%

Form recording a specific indoor air quality issue at the World Trade Center site for EPA review.

NYC-WTC_000147787–000147793

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147792
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Name of Operator A TTD Date: 5/Zzfot Time: BSF : % Category; (circle one) , m Environment Health : i L¥e Specific Contaminant School Old WTC Other Out iy) Sy ee er Ade Ofer gh F Auswet Soner 5/30f4L pp Vth fe sre ec~ Plewor Cot) eck ftir 3fP Le ’ Caller Information: ___...------- Tl ore First Name: i Pil eobaticgiamiaiets Last Name: Goa Address 1: fat —1F Apher Sh Apt Suite F— ‘. ie | es Borough: City ad I pt pbasaiiad State:.., f / Zip: VA 6D0Y¥ Phone A) PU Phone #2 3 Follow up: 4 Referral/Follow-Up Needed? (circle one) YES ed Referral Agency/Organization: Zi A DEP Reference # NYC-WTC_0001 47792

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NYC-WTC_000147792Source: NYC Law Department, mirrored locally

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