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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 85%

Completed intake sheet documenting a follow-up request for services related to the World Trade Center location.

NYC-WTC_000147851–000147852

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147851
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

1

■ Name of Operator^ / Date:‘t______ Time:.

Category; (circle one)

ivimnment Cleaning "5 rSE2 Contaminant School I 4^ Question;

Comments;

PH Caller Information;

First Nam^-^ PH Last Namdr PH Address 1: ’Apt

Address 2:

City State: Zip:

Phon^ PH Phone #2 ()

Follow up;

ReferraVFollow-Up Needed? (circle one)

Referral Agency/Organization:

DEP Reference #

NYC-WTC_000147851

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

NYC-WTC_000147851Source: NYC Law Department, mirrored locally

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