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Document / 3 pages

IAQ Referral Form, Old WTC Site, Feb 2002

Machine-extracted title · confidence 90%

Form recording a referral from an operator concerning environmental or health conditions at the Old WTC site.

NYC-WTC_000147833–000147835

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147833
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of Operator /kutUA- »«« Category; (circle one)

ivironment Cleaning Health

Specific Contaminant School OldWTC Other

ClIHr Vv.uZlxJ.-L Jl I L _

Ka> <^yYA>J^ c Lu Ax H<- C c^/CdfiL-TJ u2 cuv/ , /yrWi cXtcICottIc CJ?£i

________

Cnmm^ntg: i UuJT X C

rallprlnform^figsi..... ........ p|| Pll Last Name:,------------------- tai-U*. FhstNanie:^.. „ _•---------- v S PH i

Address 2; __________ —------------- -

City N't*' State; Zip; I giiOl Phone #1 'vp»T--T"»— Pll Phone #2!TaeiaG3rzzi=s=:£=;

Follovf up:

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

Referral Agency/Organizadon:

DEP Reference #

NYC-WTC_000147833

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

NYC-WTC_000147833Source: NYC Law Department, mirrored locally

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