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Indoor air quality referral form, operator submission

Machine-extracted title · confidence 90%

DEP indoor air quality referral form with operator-provided response to inquiry about environmental, WTC, or air quality concerns, including follow-up and referral fields.

NYC-WTC_000147836–000147837

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147837
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Date;_____ Timel Name of Operator

r.Btegorv: (cirde one) aeaning Health Indoor Ai Environment School OldWTC Specific Contaminant

Question;

Answer; 47-772-

rnmments;

PnUpr Information: . PH I Pll .Last Name; First Name; t:--------- ---^ Apt. Address 1: Borough: Address 2: State: Zip: City___

Phone #(_ Pll Phone #2 ()

Follow up; Referral/Follow-Up Needed? (circle one)

Referral Agency/Organization:

DEP Reference #

NYC-WTC_000147837

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NYC-WTC_000147837Source: NYC Law Department, mirrored locally

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