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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_000147924
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

0

Date: 7 '2(rime; Name of Operator

Catezorv: (circle one) Cleaning Health Indoor Air Environment School Old WTC Other Specific Contaminant

M

,Caner Informatg ..----------.

First Name: P11I _._._._._ Last Name•

g4 j • 41) 1' P11 L Gt1,e~6APt—~._._._._._._._._ Address 1: ~ Borough: IVadLA Address 2: / /(l,t~. Zip: t b2JY"~a2/ ) City 4 ~ State:

Phone #1 P11 Phone #2 ( )

Follow up• -

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

Referral Agency/Organization:

DEP Reference #

NYC-WTC 000147924

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000147924Source: NYC Law Department, mirrored locally

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