HVAC inspection report, 2 South End Ave, Jan 2003

NYC 9/11 Public Portal Document

VENTILATION SYSTEM EVALUATION FORM Please complete this form in accordance with instructions in the accompanying guidance Part 1.0 document Ix3foryJation Date of evaluation: Gener711 1/ 15703 1 Building contact name and phone: Evaluation team list name and affiliation): _ ALL DU ttla=ss: Type of Facility hat Residential N~ w 2 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 and Indicate total no. of units) Central ventilation system Mechanical exhaust system Est. no. of units Est. no. of units Mechanical make-up air system Passive shaft/duct Est. no. of units Est. no. of units t Other (describe)

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

Vent' (H ) Evaluator' Date Pr .0 isual Inspection Forms j /~l °3 Use the attached forms to document visual inspections. Complete the instructions in the accompanying guidance forms in accordance with document.

NYC-WTC 000117834