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NYC-WTC_000130404

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000130404–000130409
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NYC 9/11 Public Portal Document

, - VENTILATION SYSTEM EVALUATION FORM Please complete this form in accordance with instructions in the accompanying guidance document Dnrf 1 n !_pnpral infnrnoatinn

r L ate of evaluation: . J valuation team (list name an affiliation): I Building contact name and phone:

(Environmental professional) ; .r rz 1 (HVAC professional) Building address: Type of Facility (check all that apply): `yp () V Residential N' w ~ o r_~ ti _ - Multi-use Other (describe) Date of construction: Number of residents i units: Number of floors: /,'— Prior inspection report/maintenance records available for review?:

Other comments

Ventilation system types (check all that apply and indicate total no. of units) Central ventilation system Mechanical exhaust system

Est. no. of units Est. no. of units 3 Mechanical make-up air system Passive shaft/duct

Est. no. of units ~ Est. no. of units Other (describe)

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

Ventil i st VAC) Evaluator Date ,)/

Par .0 'isual Inspection Forms Use the attached forms to document visual inspections. Complete the forms in accordance with instructions in the accompanying guidance document.

C

NYC-WTC 000130405

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NYC-WTC_000130405Source: NYC Law Department, mirrored locally

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