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← Document results/DEP Box 09/IAQ REFERRALS TO EPA
Document / 4 pages

IAQ referral form, Old WTC site, Oct 2001

Machine-extracted title · confidence 100%

Form used to log an indoor air quality complaint or inquiry concerning the World Trade Center area.

NYC-WTC_000147886–000147889

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147886
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of Operator________________________ Date:___________ Time: f /d:^j Category; (circle one)

Eifvironment Cleaning Health

SpeciHc Contaminant School Other

Question:

Answer:

<°r^ J’-y 8 '•“•2________ Caller Information;

First Name: PH Last Name: Pll Address 1:

Address 2:

City State:

Phone #li., PH Phone #2 (. .)

Follow up; 1 Referral/Follow-Up Needed? (circle one) YES J NO

Referral Agency/Organization: zl^ DEP Reference # iWaXso_________ gwtisH CkMltc

NYC-WTC_000147886

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NYC-WTC_000147886Source: NYC Law Department, mirrored locally

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