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← Document results/DEP Box 40/130 WATER STREET; Block: 39 Lot: 7501 BIN: 1000884 77-83 Pine Street, 164-168 Pearl Street
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130 WATER STREET; Block: 39 Lot: 7501 BIN: 1000884 77-83 Pine Street, 164-168 Pearl Street

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000113711–000113731
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Scanned page image, NYC-WTC_000113713
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NYC 9/11 Public Portal Document

VENTILATION SYSTEM EVALUATION FORM Please complete this form in accordance with instructions in the accompanying guidance document Part 1.0 General Inf r ation ')ate of eva1uati0n Jo 3 I Building contact name and phone: Evaluation team (list name ana affiliation): (Environmental professional) `moo _ f c-'- uS' iz (HVACprofessional) ;Milding address: Type of Facility (check all that apply): w A J2 .T VResidential ~,,-1 7o (L Multi-use Other (describe) Date of construction: Number of residential units: Number of floors: Prior inspection report/maintenance records available for review?:

Other comments

Ventilation system types (check all that apply and indicate total no. of units) I Central ventilation system Mechanical exhaust system

Est. no. of units Est. no. of units 1 Mechanical make-up air system Passive shaft/duct

Est. no. of units Est, no. of units Other (describe)

I certify that to the best of my knowledge, 'the information and observations recorded on this form including all attachmentsyare a true and accurate representation of site conditions.

Ventil io v to AC) Evaluator Date 21y 03 Pa isual nspection Forms Use the attached forms to document visual inspections. Complete the forms in accordance with instructions in the accompanying guidance document.

NYC-WTC 000113713

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NYC-WTC_000113713Source: NYC Law Department, mirrored locally

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