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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

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Scanned page image, NYC-WTC_000147826
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Name of Operator SAvEKN Kollevs Date: 3/19/02 Time 4. Category: (circle one) Environment Cleaning Health Indoor Air Specific Contaminant School Old WTC Other _ Question: After ll tte kuep gethig bick a cold That last for Tout or three weks ind seluge aan wauld the like to know if She is kung escposcd lo concentratiins tiat buay be haranfel Eonst make as aff. 1 see your DK and sone one for 2oH will follow-up and gove her info. or 2. ez zador Aer un parie. Comments: JeH plase fillw up with indor ufo: Caller Information: First Name: PIl PII Last Name: Address 1: 210 cast Caroasaiy - Apt4/605 Address 2: _ Borough: City Phone #1j State: PII _ Zip: 10002 Phone #2( PII Follow up: Referral/Follow-Up Needed? (circle one) Referral Agency/Organization: YES) DoH NO DEP Reference # NYC-WTC_000147826

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NYC-WTC_000147826Source: NYC Law Department, mirrored locally

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