NYC 9/11 Public Portal Document
Page 1 of 1
2.4 Passive Shaftilluct Visual Inspection Form
Passive Shaft/Duct Identft at1on:
EKE s Aii f ifl Tf♦E VATbR
Location: Area Served:
E..EVA-TOR eDo H
ELEtlATO R OO t' Surface Component
Dash ETC • not present
System Components
[NOTE: if component not. present (NP), not found (NF) or inaccessible (1) please • not found
rose ?
Debris ros nt?
Dust • inaccessible
indicate in last column]
Outside air intake (if servicing supply air): Location:
Accessible for inspection? Y.1N (explain):
Y
— louvers, grates, screens or weather cap
Exhaust outlet/louver (if servicing exhaust air): Location:
Accessible for inspectionc Y Y N (explain):
— louvers, grates, screens or weather cap
Supply air distribution (if servicing supply air):
- Supply air outlet(s) Est. total qty 1 No. locations inspected !
Specify shaft substrate t:circle): etal fibrous glass lined metal masonry
fibrous glass board flex-duct w
- Accessible fire dampen; Est. total qty No. locations inspected 1
- Pipes/mechanical equipment, etc. located in shaft t►JP
Return air distribution Of servicing exhaust air):
- Exhaust air inlet(s) Eat total qty 1. No. locations inspected
Specify shaft substrate i circle): ea fibrous glass lined metal masonry
fibrous glass board flex-duct wood 1v
- Accessible fire damper Est. total qty No. locations inspected jp
- Pipes/mechanical equipment, etc. located in shaft ts,}'P
Other (specify):
Other Information:
General impression (indicate recommendations for cleaning based on finding of WTC dust):
u ST u.~ A,5 e9'~ S E t'7 /K1 T.F+z. D uQT.
3
- !JO C.t,GA i►NC7 !S ZCQu,r1~D FOP- t re P-.&c.RTEi lxsT.
KEY: NP = not resent; NF = not found; I = inaccessible; U = unknown
NYC-WTC-000117878
OCR can misread numbers and units. Confirm readings against the page image before using them.