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Document / 6 pages

IAQ referral form for health inquiry at WTC site, July

Machine-extracted title · confidence 85%

Form documenting a call regarding health concerns and indoor air quality at the World Trade Center location.

NYC-WTC_000147824–000147829

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147824
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Name of Operator Vaan Date: Spr Time: } 30/7 Category: (circle one) ~ Environment Cleaning Health * Indoor Air Specific Contaminant School Old WTC _ Other we tthe Bohne te ee. ae [| Call hte * ov — Oy Lois, .| ite Caller Information: f EA ee Pil First Name: __ | QT] - Last Name: : a Address 1: ___ (os 4) ae tap pt_! AF Borough: Mat. Address 2: a City Nad Lines State: pf Zip: 100{3 Phone #1 Pl ~ Phone #2 ( ) : Follow up: Referral/Follow-Up Needed? (circle one) pe NO Referral Agency/Organization: ic} . DEP Reference # NYC-WTC_000147824

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NYC-WTC_000147824Source: NYC Law Department, mirrored locally

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