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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_000147861
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

n Name of Operator. Ellis Date: Time; * S'S’

Category: (circle one)

Environment Cleaning Health Qlndoor Air

Specific Contaminant School OldWTC O±er

Oiicstion^ fleeZi l-^SS Jp/t /Ziibj Ihdir^ fh 335 ^rhk Pl<iej^^-i^cyJ- ____ (TA lu H h (a 4a Zb^ H" /‘"O1 >/>r

OJklliUe^n' tI

First Name; PH Last Name:. Pll Address 1: Ant I P" Address 2; _____________________________ Borough:.

City l^,QAAi SUte; Zip:

Phone #1 Phone#2 L.... Pll

Follow up;

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

Referral Agency/Organization:

DEP Reference #

NYC-WTC_000147861

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

NYC-WTC_000147861Source: NYC Law Department, mirrored locally

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