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WTC exposure survey form for employees and exposed populations, October

Machine-extracted title · confidence 95%

Survey instrument requesting information on four distinct populations exposed to the WTC site to identify those at risk for related illnesses.

NYC-WTC_000164531–000164536
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NYC 9/11 Public Portal Document

ACC/DP From: ACC/DP ._. Sent: -da Octo . . . . .r 13, 2006 12:18 PM To: Pii Subject: W: WTC SURVEY DUPLICATE

P11 !: I revised your work dates as follows If okay, please call or send back to with art._.00Kay.

Thank you!

-----Original Message----- -.-.-.-.-.-.-.-.-. F_ -PII Sant: Friday, October 13, 2006 11:12 AM TO: Subject: RE: WTC SURVEY DUPLICATE

ACC/DP

As Mike mentions below, it seems like a lot of this survey should be provided by the agency, but re the questions he mentions I can now provide:

IA & (1)(a)(b) Worked at 110 Maiden Lane Help Center starting on 9-18-01 until 11/16/01. Tasks included assisting businesses to restart operations and provide info on financing etc. sources and other sources of assistance. During period of work at 110 Maiden I was e:-.rolled in a city-funded health insurance.

H. oe this helps. -------------,

P11 ---Original Message----- O:1 ACC/DP C_- i

Th , Cc: G-lsenan, Michael; Leonforte, John Subject: FW: WTC SURVEY DUPLICATE =-:oortance: High

t::i -- T:ike asked that I send this survey to people who worked at/near the WTC site after 9/11, and may be at risk of developing WTC illnesses.

ACC/DP please fill out and RETURN TO ME by the end of Thurs., 10/12 or before neon on_Fr.i . -10/13, so I can give to Mike. He must turn in ALL completed surveys from Hureau personnel on Friday.

Thank you for your cooperation. ;ACC/DP

-----Original Message----- i --om: Cilsenan, Michael Sent: Tuesday, October 10, 2006 11:25 AM Fawzy, Moustafa; Kelpin, Gerry; Radhakrishnan, Krish; Marabetti, Rose; Raffo, Barbara C:: Avaltroni, Robert :' bject: FEW: WTC SURVEY DUPLICATE

I1 appears that most of the questions will have to be filled out by personnel, however, I ::uid like to provide an answer to IA, la and b. is important that staff who were at the site be included in the survey and anything that might come out of the review panel. Our response is due Friday. E-mail your response me and I will submit for the bureau. Thanks Mike

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NYC-WTC 000164531

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NYC-WTC_000164531Source: NYC Law Department, mirrored locally

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