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Document / 5 pages

IAQ referral form, Old WTC site, Oct 2001

Machine-extracted title · confidence 85%

Form recording details of an indoor air quality request for the former World Trade Center site.

NYC-WTC_000147862–000147866

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147862
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Date: Tune:. Name of Operator------------ ----------

rat«orv; (circle one) Health Indoor Air Environment School OldWTC Other Specific Contaminant

Amwer;

Caller Information;

First Name: PH Last Name: I PH Address 1: Borough: Address 2: ___ state: Zip: City__ f

Phone# PH Phone #2 (____ )

Follow no; Referral/Follow-Up Needed? (circle one) YES NO

Referral Agency/Organization;_______

DEP Reference #

NYC-WTC_000147862

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

NYC-WTC_000147862Source: NYC Law Department, mirrored locally

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