VENTILATION SYSTEM EVALUATIO
Please complete this form in accordance with instructions in the accompanying guidance document
Part 1.0 General Information
Date of evaluation: Building contact name and phone:
2 a34 2]t6.Jo TERESA TOTA 2.t .j 3 .._. 17r_._Cut 118
R Au.bCA; P11
Evaluation team (list game and affiliation):
— AT t&NtcA DN1q rZ, , 1w (Environmental professic
~•' Ab o M Z 0•- - DUS 5 (HVAC professional)
Building address: Type of Facility (check all that apply):
D Residential
trus '1n Multi-use
Other (describe)
L~sLC vi consrmctlon:
Number of residentia . units: Number of floors:
repo:umatntenance available for review?:
Other comments
C
Ventilation system types (check all that and indicate total no. of units)
Central ventilatic-n system
I Mechanical exhaust system
Est. no. of units . Est. no. of units 1 '
Vechanical mak„-up system Passive shaft/duct
Est. no. of units Est. no. of units .1
Other (describe)
I certify tat to the of my knowledge, the information and observations
recorded on this form
are a true and accurate representation of site conditions.
(HVAC) Evaluator
JLv"o ~
Date
Part 2.0 Visus I Inspection Forms
Use the attached forms to document visual
inspections. Complete the forms in accordance with
instructions in the :accompanying guidance document.
NYC-WTC 000116271
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000116271Source: 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.