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← Document results/DEP Box 09/IAQ REFERRALS TO EPA
Document / 8 pages

DEP IAQ Referral Form to EPA, Apr 2002

Machine-extracted title · confidence 90%

Form recording an inquiry about air quality for a new resident and information on abatement costs.

NYC-WTC_000147801–000147808

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147802
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

. Date: -- ------------ Name of Cat^orvi (circle one) Cleaning Health lor Air Environment School OldWTC Specific Contaminant

Ooestion:

Anaw«ai

Cnmmentgl

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rnller Information:., PH First Name: u Pll --------------- Last Name: L. Pll Apt. Address I: Borough: Address!: State: Zip: City j^l Phone #2 (____ ) Phone #11

lsSiaaL3a& Referral/Follow-Up Needed? (circle one) YES NO

Referral Agency/Organteation:

DEP Reference #

NYC-WTC_000147802

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

NYC-WTC_000147802Source: NYC Law Department, mirrored locally

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