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← Document results/GRM 011339086 - BOX 13/IAQ REFERRALS TO EPA
Document / 3 pages

IAQ referral form, Old WTC site, Oct 2001

Machine-extracted title · confidence 85%

Form used to log an indoor air quality complaint or inquiry concerning the World Trade Center area.

NYC-WTC_000147846–000147848

Folder label: “IAQ REFERRALS TO EPA”

Page image
Scanned page image, NYC-WTC_000147846
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

AA ~/Jl Time• Date: Name of Operator C Cate2orv: (circle one) Cleaning Health Indoor Air Environment

School Old WTC Other Specific Contaminant

OuesIion /Zt4' - 'cLLl'- '-- cc. ,c)?),Z4iC J3,l2 c4 q- ' - 1.1 ,2/('J:;✓c- ? /4' -?)7 p j

4- £ c 7?e - Sd' er:

a2 /-1/ I- - c ' — ' q-io ir'f o J L cam/ ::7 c.~¢..~- &7c1 7? ) Oó' 2- Comments: A-----73 2 -- 4'1

-------------------------------- - ~Z f f~~~jZ~. ~, Caller>~o t-------------------------- P11 PII ---- --` Last Name: `_._._._._._._._._._._._._._._._._._' --._._.a_._._._ 1 -- First Name:

Address 6 1: C~ G1'~/ -1 -$ f Apt —J PII ~~" ,!~ /c , '—

Borough: Address 2: _._._._._._._._._._._._._._._._._._._._._._._._._._._.Staut .............. Zip: City PII Phone ._. •_,._._._._._._.Y_._._._._._._._._. _ _._._._._._.._._._._._._._._._._.: Phone #2 (__)

P11 ._._._._._._._._._._._._._._._._._._._._._._._._._.. Follow up•

Referral/Follow-Up Needed? (circle one) 'E ) NO ( fu—'/ Referral Agency/Organization:

DEP Reference # ` 2)

NYC-WTC 000147846

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NYC-WTC_000147846Source: NYC Law Department, mirrored locally

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