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← Document results/GRM 011339086 - BOX 13/IAQ REFERRALS TO EPA
Document / 7 pages

IAQ referral form to EPA, Old WTC, Feb 2002

Machine-extracted title · confidence 95%

DEP intake form for documenting indoor air quality concerns or referrals at the World Trade Center site with redacted caller data.

NYC-WTC_000147920–000147926

Folder label: “IAQ REFERRALS TO EPA”

Page image
Scanned page image, NYC-WTC_000147920
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document Wy 53 Name of Operator Mile S Daten’ OF Time: |p — \ kop Category: (circle one) Environment fo Health Specific Contaminant School Other : , © 7 7} : tilts Lid! Lid 2 fA Yt tila gp Wy Answer: / i A Vf, U,, 4, fan , Leaatlilliy LOD" thy Lidl, Youn liblldy Lid “4 ih , J j LIE A J 4 ALY Muh CTEM ue Lh Lhe _flt ti Comments: Caller Information: First Name: - ‘Pil | _ Last Name: P | | | pecenresanevenascs Address 2: City State: Zip: Phone #1 P | | Phone #2 ( ) Follow up: Referral/Follow-Up Needed? (circle one) YES y Referral Agency/Organization: DEP Reference # NYC-WTC_000147920

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NYC-WTC_000147920Source: NYC Law Department, mirrored locally

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