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← Document results/DEP Box 09/IAQ REFERRALS TO EPA
Document / 3 pages

IAQ referral form concerning health issues at WTC, May 2002

Machine-extracted title · confidence 85%

Form capturing details of a call regarding health and environmental conditions at the World Trade Center site.

NYC-WTC_000147859–000147861

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147859
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document -~ Name of Operator Date: DY hin Time: ~*~. Environment _ Cleaning Health Indoor Air Category: (circle one) Specific Contaminant School Old WTC Other AL J aif a ¢ é d d Epes. YL CLFCh btis thot Ais blow wk Dbow Hh (Huo. Lek , 14, (a ‘ Vy Sh ZC K-71 (7 D4 ME Ulf i tk”) Y hit LAL) LAd- (i y, MYL tid. AUS MET DDE d fo CLARE = ne PS Gao pen Ss tip ( jum OOH Fide Can yh we A thld fan Let stoner t fuaall side hack LAL u, Bh) bert on FO pie ge CE wth pe) + Ped fir Flag PLE A4NUE YAR GELAANT [PR MERCH CBA Comments; CU... past yl WW Gds ofa fo. At 189-G4 16-°% Caller Information; First Name: _| Pll | Last Name: Pil Address 1: $353 LPfor fo _ Apt_ Pil Address 2: Borough: Mundt Phone #1 Pil Phone #2(_) Follow up: Referral/Follow-Up Needed? (circle one) Ces) NO Referral ee) — 2] DEP Reference # f () / f) (bod cf f 73 73 7€ NYC-WTC_000147859

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NYC-WTC_000147859Source: NYC Law Department, mirrored locally

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