Estimate
loading
System Light Heavy
Component (<1/16 inch (2 1/16 inch Present?
System Components Substrate Material None depth) depth (Y/N)
air intake louvers, grates
and/or screens w •
Outside air duct (1.1
Outside air damper(s)
Return air grilles • t .
Return air plenum
Return air plenum damper uK x
Return air ducts
Turning vanes ,.
Mixing chambers
Filter rack(s)
Filter banks/media tJ
Pre-heat coils ac N
Cooling coils
Re-heat coils
Humidification and/or air cleaning
equipment
Fire dampers
In-line re-heat coils
Acoustical blower housing lining s<
Duct connectors
Blower assembly including blower
wheel, blower housing, air vanes, in-
line noise attenuators, acoustical
treatments (e.g. baffles, ouct linings) K jV/
Condensate drain pan
Condensate accumulator
Supply air plenum
Supply air plenum damper(s)
Supply air ducts $qf „K
-High pressure - main trunk (~
-Low pressure — branches ~K
Supply plenum or supply duct
linings
Supply air duct damper(s) çLp iJ.
Supply air diffusers
Terminal boxes
shaft(s)r ducted passive ventilation
~(
Other Information:
O
Unit cycled prior to inspection
Filter loading (general impression)
Filter bypass (describe)
~~
q (
pJD
9 Color of Dust/Dirt/Debris $
Water damage (4o t~ CBS
Visible suspect mold growth N'u6
V~
d tz
Abraded/delaminated acoustical lining , / Evidence of animal incursion (carcasses, feathers, fecal
matter) lYo&; 4()5 - 8u P
NYC-WTC 000117452
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000117452Source: NYC Law Department, mirrored locally