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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_000147924
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document ~ | \\\10 Name of Operatar IZ Wt ___ vex fof Dime: 5: TO H7 . Category: (circle one) a, Environment Cleaning C “Health Indoor Ai Specific Contaminant School Old WTC Other “BD hdd A Mt Pv _indar_2yr i f2f,. QM ijn cede dite alae Cet Ht Gouna 4 L— e Z) Ll) _ Lietgees eo shesfie ds EE: by, ln ee y 42 gy Mt dear - Usa, cay lode. - ea 72 reall thartetltin D terole sft On Caller Information: nae Pll First Name: Last Name: _j | Pil Address 1: 37 Z Lb prot Be bl enF-rg. Apt! Address 2: [ Borough: Me anh City New Vind iat: MY rip: 100.24 8.2/0 Phone #1 Pil Phone #2(___) Follow up: . Referral/Follow-Up Needed? (circle one) eS NO Referral Agency/Organization: Da haa DEP Reference # NYC-WTC_000147924

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NYC-WTC_000147924Source: NYC Law Department, mirrored locally

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