NYC 9/11 Public Portal Document
-
Myleo
Iotp
- Date:.
5/01 mi 6:81
14511
Name of Operator
Caterory: (circle one)
Environment
Specific Contaminant
Cleaning
School
Health
Indoor Air
Old WTC
Other _
Question:
Caller want to
register
Answeri
Fouk lnfo fa CfA
Comments:
!*.*.
Caller Inform
PII
First Name:
Address 1:
a west st
Last Name:
Address 2:
City -
State:
Phone #1
PII
Follow up:
Referral/Follow-Up Needed? (circle one)
Referral Agency/Organization:
DEP Reference #
PII
Apt
Zip: _
Phone #2()
PII
Borough: _
ERA
NYC-WTC_000147897
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000147897Source: NYC Law Department, mirrored locally