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Document / 3 pages

IAQ referral form, cleaning or health category, Feb 2002

Machine-extracted title · confidence 95%

Record of a referral for cleaning or health-related indoor air quality issues at the World Trade Center site in February 2002.

NYC-WTC_000147950–000147952

Folder label: “IAQ REFERRALS TO EPA

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Scanned page image, NYC-WTC_000147952
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document 1 3728 Name of Operalor SAVERN RollinS Dac: 3/96/02 Time: 11:30 Category: (circle one) Environment Cleaning Health Indoor Air Specific Contaminant School Old WTC Other — Question: MATHER OE TWO KiDS AGE 3½ YR O11) ANI) 312 MONIHS WouLd LikE INFO. ON INDOoR AiR WOuL LIKETO bE PUT ON THE LiST FOR INDOOR STUDY by JOH Answer: WENÍ OVER SOME CIEANiNE PROCESS: INFO. ON THE WEb Comments: Caller Information: First Name: Address 1: Address 2: _ City Phone #1 PII 176 NY PII Mom All DAY Follow up: Referral/Follow-Up Needed? (circle one) Referral Agency/Organization: DEP Reference # Last Name: BROAI WAY State: NY PII Apt (Pil] Zip: 10038 Phone #2 C. Borough: NO 70H a WQd part DOH/ATSDR samppring-Feoge will refe to Chris D'Androa NYC-WTC_000147952

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NYC-WTC_000147952Source: NYC Law Department, mirrored locally

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