NYC 9/11 Public Portal Document
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2.4 Passive Shafti1)uct Visual Inspection Form
Passive Shaft/Duct Identifi,ation:
EKE s Ai f N14Pct THE ELEvATb(. ebo H .
Location: Area Served:
E..EVA-TOR oo H
EL r ro. 21 oD component
surface
Dust/ WTC • not present
System Components Debris Dust
[NOTE: if component not. present (NP), not found (NF) or inaccessible (1) please • not found
Present? Present? • inaccessible
indicate in last column]
Outside air intake (if servicing supply air): Location:
Accessible for inspection? Y ..1 N (explain): a
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 y
Supply air distribution (if servicing supply air):
— Supply air outlet(s) Est. total qty 1 No. locations inspected 1
Specify shaft substrate t:circle): etal fibrous glass lined metal masonry
fibrous glass board flex-duct wQ4
— Accessible fire dampen; Est. total qty No. locations inspected
— Pipes/mechanical equip went, etc. located in shaft Nt~
Return air distribution (if servicing exhaust air):
— Exhaust air inlet(s) Est. total qty]_ No. locations inspected
Specify shaft substrate i circle): ) fibrous Bass lined metal masonry
fibrous glass board flex-duct wood
— Accessible fire damper!. Est. total qty No. locations inspected ^y p
— Pipes/mechanical equil!ment, etc. located in shaft __
Other (specify):
Other Information:
General impression (intlicate recommendations for cleaning based on finding of WTC dust):
r fj .D u 5 U Ik5 Z7g S E t S /h1 Tflt D U(T.
to G 't-i
N ►N C
7 !S ZC Q u w
4P , tT C f "Te-D J)tST.
KEY: NP = not preseut; NF = not found; I = inaccessible; U = unknown
NYC-WTC-000117878
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