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← Document results/GRM 011339086 - BOX 13/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_000147805
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Time= ≤ Name of Operator Date:*—!~! Category: (circle one) Cleaning Health Indoor pnviropment c Old WTC Other Specific Contaminant

Comments

PII II IA /~ a~ (.v P II etr ._._._._._._._._._ Last Name / J First Name: ! #7 Apt !.-- P Address t Borough: Address 2: -----------State: zip= City --- -.-.... ---- ------------------------- PII rPhone#2( _, Phone #1L._._.-_._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._..

Follow ua•

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

Referral Agency/Organization:

DEP Reference #

NYC-WTC 000147805

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

NYC-WTC_000147805Source: NYC Law Department, mirrored locally

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