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← Document results/GRM 011339086 - BOX 13/IAQ REFERRALS TO EPA
Document / 4 pages

IAQ referral form, Old WTC site, Oct 2001

Machine-extracted title · confidence 85%

Intake document logging a referral for environmental or health services at the World Trade Center location.

NYC-WTC_000147867–000147870

Folder label: “IAQ REFERRALS TO EPA”

Page image
Scanned page image, NYC-WTC_000147867
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document | 3803 Name of Operator Cara bet Date: vol. Time: zi) HS Pm Category: (circle one) Environment Cleaning Health Indoor Air Specific Contaminant School Old Wine Other Querton: | ty Th Kens woe Ae tale abode Cheon age of her uel bres, Pls pride bitline. Apert Coe ku Atsye/Don vada! re ba bud, They Gs va ass Kebes susie of watt ne-build ge thtaniy AQ, wiser — coma: Witwer. Yue \, vee to ConA = dic ts ool V0 te Web ch KETC set Chess ca\( hey re yo CPons) CoParetnoctt Drund « Caller — a runene: PI Levan PI beget pene Pil Address 1: "VT" Briad wae Apt. ) Address 2: Borough: _nphw. City : State: Zip: Phone #1 (22-2. rena | Phone #2(___) ——_ Pil ! BwIcH Follow up: y y 3 hed id Referral/Follow-Up Needed? (circle one) Ks Mar Ray le ae Referral Agency/Organization: PER, Oot 3}24 y " DEP Reference # Hil 0 " | 3] fea solve a d Hf er ne ii ev. Gave bar Pus tok oh ve fee Wud He a fied <D To ++ nay ty be a lla AQ Stud Y) un eta yl Cua Cal. eas DEP) NYC-WTC_000147867

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NYC-WTC_000147867Source: NYC Law Department, mirrored locally

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