NYC 9/11 Public Portal Document
2.4 Passive Shaft/Duct Visua spection Form Page 1 of 1
ShaftMW Identification:
Passive S ~e
Location: Area
, -300 AUM-1 5' ~ uN D-2 i~ac'`,Ll S
W
Surface Component
System Components Dust/ WTC • not present
[NOTE: if component not present (NP), not found (NF) or inaccessible (I) please Debris Dust • not found
indicate In last column]. Present? Present? • inaccessible
Outside air intake (If servicing supply air): Location:
Accessible for inspection? Y V N (explain):
— louvers, grates, screens or weather cap
Exhaust outlet/louver (if servicin exhaust air): Location:
Accessible for inspection? Y/N (explain):
— louvers, grates, screens or weather cap
Supply air distribution (if servicing supply air):
— Supply air outlets) Est. total qty No. locations inspected 3
Specify shaft substrate (circle): U fibrous glass lined metal masonry
fibrous glass board flex-duct v
— Accessible fire dampers Est. total qty No. locations inspected 3
— Pipes/mechanical equipment, etc. located in shaft
Return air distribution (if servicing exhaust air):
— Exhaust air inlet(s) Est total qty ~' No. locations inspected____
Specify shaft substrate (circle): (j) bus glass lined metal g ory
fibrous class board flex-duct Y
— Accessible fire dampers Est total qty No. locations inspected
— Pipes/mechanical equipment, etc. located in shaft
Other (specify):
Other Information:
General impression (indicate recommendations for cleaning based on finding of WTC dust):
ts.ja I CG d us i- cZ a ©b5C'_ VE'c?(~
N' ,S 4) j)
(2LEA
KEY: NP = not present; NF = not found; I = inaccessible; U = unknown
NYC-WTC-000116345
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