HVAC Inspection Report Memo, 118 Chambers Street, Feb 2003

NYC 9/11 Public Portal Document

VENTILATION SYSTEM EVALUATION FORM Phrase complete this form in accordance with instructions in the accompanying guidance document Part 1 _t) (:rnerat Infnrma nn Date of evaluation: .L /!/o3 Building contact name and phone: r L Evaluation team (list name and ffiliation): (Environmental professional) nyit .a~ s (HVAC rofessional) Building address: Tyr of Fa:ility (check all that apply): gJ Ct -4 ?/ S Si ✓Rcsidential ~F_w ~(.- - i\lulti-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 apply 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 — — ---

Et. nn. (if units Est. no. of units _.-- Other (describe)

I certify that to the best of my kno ledge, the information and observations recorded on this form inrludinb all attachments area true and accurate representation of site conditions.

Ventilation System (1-IVAC) Evaluator Date

Part 2.0 Visual Inspection Forms Use the attached forms to document visual inspections. Complete the forms in accordance with instructions in the accompanying guidance document.

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NYC-WTC 000130412