VENTILATION SYSTEM EVALUATION FORM
Please complete this form in accordance with instructions in the
accompanying guidance document
Part 1_1) ( nnr•al
Date of evaluation: Building contact name and phone:
a2 0,3 2 p T€ esA TOTA 212-534-T171 C) t 119
lb T ALLCCA -232
Evaluation team (list ,lame and affiliation):
• t -- ArhtNtcA VNv1 >zoN'-(eWAL 5W... INc..(Environmental professional)
~c GAU O Mrr ôv JZAjJO- DIxi DU T S (HVAC professional)
Building address: Type of Facility (check all that apply):
TE.ET . Residential
w 0 Multi-use
~ Other (describe)
Date of construction:
Number•of residentia*. units: I S Number of floors: : i6
Prior inspection report/maintenance records available for
review?:
Other comments
Ventilation system i ypes (check all that and indicate total no. of units)
Central ventilatic;n system
Mechanical exhaust system
tst. no. of units _ (~
Est. no. of units I
Mechanical mak..-up air system Passive shaft/duct
Est. no. of units
Est. no. of units 1
0. Other (describe)
I certify 4at toVtliebepof my ..
S
knowledge, the information and observations
I'
inclu tta are a true and accurate representation of site recorded on this form
conditions.
V tilation ystem (IHVAC) Evaluator
Date
Part 2.0 Visu:I Inspection Forms
Use the attached forms to document
visual inspections. Complete the forms in
instructions in the Accompanying guidance accordance with
document.
NYC-WTC 000116237
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000116237Source: NYC Law Department, mirrored locally
An HVAC inspection report from Cole Consulting Corporation dated February 13, 2003, recommending cleaning of units at 275 Greenwich Street due to WTC dust.
An HVAC inspection report from Cole Consulting Corporation dated February 13, 2003, recommending cleaning of units at 275 Greenwich Street due to WTC dust.