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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_000147926
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of Operator _ Date: Time• 9a — Cait ro: (circle one)

Environment Cleaning. Health Indoor .

Specific Contaminant School Old WTC

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Comments:

rCalle Information:

First Name: ~ _ _ _ _ _ _ P11 .-_._._._._._._. — Nom. - -, P11 ---

Address 1: Apt

Address 2: Borough:

City_________________ State_ Zip: --- - - - - - -j ~~.~ CwJ Phone #2 ( Z/ Phone #1 P 11 ----------------------------- .-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.... 4-2 Follow uo

I#9/6 a- Referral/Follow-Up Needed? (circle one) NO P I I _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._ Referral Agency/Organization:

u dam . ( t-'- ' DEP Reference #

k ~e / / j 7~ 1i] Camay/JL NYC-WTC 000147926

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NYC-WTC_000147926Source: NYC Law Department, mirrored locally

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