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Document / 13 pages

EPA-DEP apartment cleanup notification letter, Aug 2002

Machine-extracted title · confidence 95%

Joint EPA and DEP letter notifying state officials of a planned dust and debris cleanup at residential apartments near the WTC site.

NYC-WTC_000154373–000154385

Folder label: “WORLD TRADE CENTER SEMO INDEMNIFICATION

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Scanned page image, NYC-WTC_000154375
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

REQUEST FORM FOR WORLD TRADE CENTER INDOOR DUST CLEANING PROGRAM

Name of Resident

Address •

Apartment Number:

New York, New York

Telephone Numbers: Home / Wo&

REQUEST

I have read the fact sheet on the W^)d Trade Center Indoor Dust Cleaning Program (“Program”) and considered the information provided to jtne by the U.S. Environmental Protection Agency (“EPA”). Having considered the cleaning and monitoring offered, I would like to participate in the following cleaning and monitoring alternatives under the Program.

Initial one of the following:

I request dust cleaning of the residence identified above (“Residence”) and monitoring after the cleaning.

OR

I request monitoring of the Residence.

Initial one of the following:

I request “modified aggressive” air sampling.

OR

I request “aggressive” air sampling.

AGREEMENT

In consideration of the benefits of the Program, on behalf of myself and any other occupants of the Residence, I agree to the following:

NYC-WTC_000154375

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NYC-WTC_000154375Source: NYC Law Department, mirrored locally

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