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← Document results/DEP Box 09/IAQ REFERRALS TO EPA
Document / 2 pages

IAQ referral form, Old WTC site, Oct 2001

Machine-extracted title · confidence 90%

Completed intake form for an indoor air quality referral regarding the World Trade Center site.

NYC-WTC_000147841–000147842

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147841
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

ft /W Name of Operator ±L______ Date: JAC Category; (circle one)

Environment cleaning-■ Health

Specific Contaminant School Other // £2ijnSiE

- r /A /a«a^ z^, ________________

Caller Informa**^” -

First Name: PH Last Name: PH Address 1: r/z- AptJ PH Address 2:

City A/.l/ State: Zip:

Phone #1 PH Phone #21 J

Follow up;

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

Referral Agency/Organization:

DEP Reference

NYC-WTC_000147841

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NYC-WTC_000147841Source: NYC Law Department, mirrored locally

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