NYC 9/11 Public Portal Document
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dart I 0 °PGenral Irforination r e
'Date of Evaluation: 1ç - `Buildipgcontact name and phone
Evaluation Team (list name and affiliation) .
i t'` r :< (Environ~nental.Professional)
' ' •
(HVAC/Electrical'Professional)
:. _:... ! { " (sheet Metal Professional)
Building Address Type of Facility (check all that apply)
Pp Y)
y , Sr - Jesidential
t rLk U Multi-use
Other (describe)
Number of residential units Number of floors
BVAC System Types (t heck all tha#apply)
fl Uiut sentilator(single residence unit) U Wal]/wmdow .0 unit (single residence unit)
Fan coil unit (Single re idence unit) Central entilatiorisysterl~
' Neat pump unit (single residence unit) Passive shaft/duct
fl Other (describe) ,, t
Location of outside air intake:
Outside air intake accessible for Inspection : Y N (explain)
Part 2.0 Checklists
2.1. Ventilators, salt air conditioning units and window air conditioning:nits in common paces
Ventilation SystemIdentification: ' - •
---?
L t Tc H-4 • 64~r4 nv 5 6c
Location: .
Access adequate for inspection of cort'ponents: \/
Dust/Dirt/Debris Suspect WTC-Related Dust
System Component
Substrate Material
(sheet metal wrapped) Light Heavy •
System Components (sheetmetal lined)! None {<1/16 inch • (z I/16 inch • 'Present? Estimate % of total dust
(fiberglass) depth) depth ' .. :::;: (APT') • loading
(flexible connector)
(double walled) • . •
Outside air intake louvers, grates'
and/or screens
Outside air duct
Outside air damper(s)
Return air grille'
Return air plenum , • • . . • -. . - ... - - . . ________________________
Filter rack ''
Filter media
Coils (evaporator)
Blower assembly
Condensate drain pan .
In-line electrical resistance strip
heaters (in supply ducts '
connected to unit ventilators)
Fire dampers. . `
Turning vanes
Supply air plenum or supply duct
Supply air plenum or supply duct
liner
Supply air diffuser
21 Ventilators, wall air condltioning units and window air conditioning units in common
spaces (coat.)
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NYC-WTC 000132708
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