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It is a three-piece outfit consisting of a unique green windbreaker with an olive green sweater, light blue slacks - identical to those featured on Hospital Scrubs, and Niko's original light brown shoes. It is commonly seen in-game being worn by Liberty Sanitation Department workers.
The outfit is unlocked when it's given to Niko by Luca Silvestri at the start of the mission Taking in the Trash, wherein Niko poses as a sanitation worker. The outfit is added to Niko's wardrobe after completion of the mission.