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

IAQ referral form, Old WTC site, Oct 2001

Machine-extracted title · confidence 85%

Intake document capturing an indoor air quality inquiry concerning the former World Trade Center site.

NYC-WTC_000147877–000147879

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147877
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

-....

Name of Operator

Category: (circle one) Cleaninj Health (^Indoor Auf/ Environment School OldWTC Other___ Specific Contominant

>4

.'^

First Name: iz:;; ----y-.-. < ..._______ Last Namile: Pll L —-yqir” Address 1; _xj- Borough: Address 2: Zip: City

Phone #1 PH Phone #2 (____ )

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

Referral Agency/Organization: (7 x i

DEP Reference # , 6

<2--"

NYC-WTC_000147877

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NYC-WTC_000147877Source: NYC Law Department, mirrored locally

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