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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: JtFdaT October 13, 2006 12:18 PM To: ieeit^Teed ---- - Subject: ^W: WTC SURVEY DUPLICATE

PH i I revised your work dates as follows. If okay, please call or send back to with a n oka y .

Thank you!!

Original Message rom: [ PH ! Sene ; Friday, October’TJ', 2006 11:12 AM To: Li _______ ! Subj ect: RE: WTC SURVEY DUPLICATE

! ACC/DP j A-s 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:

lA & (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 enrolled in a city-funded health insurance.

hope this helps.

! PH I -- Original Message ri om: i._______ Apc/pp_______ I Sent: Wg.dn.es da y Oct ober 11, 2006 11:00 AM To: hL PH : Gilsenan, Michael; Leonforte, John Subject: FW: WTC SURVEY DUPLICATE Teportance: High

n1 -- Mike 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. I, please fill out and RETURN TO ME by the end of Thurs., 10/12 or before Foon’Tn"Trrday7’'10/13, so I can give to Mike. He must turn in ALL completed surveys from Bureau personnel on Friday.

Thank you for your cooperation. jACC/DPi

---- Original Message---- i_om: Gilsenan, Michael Sent: Tuesday, October 10, 2006 11:25 AM Fawzy, Moustafa; Kelpin, Gerry; Radhakrishnan, Krish; Marabetti, Rose; Raffo, Barbara (' Avaltroni, Robert lec FW: WTC SURVEY DUPLICATE

It appears that most of the questions will have to be filled out by personnel, however, I would like to provide an answer to lA, la and b. It 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 t.o me and I will submit for the bureau. Thanks Mike

1

NYC-WTC_000164531

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NYC-WTC_000164531Source: NYC Law Department, mirrored locally

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