NYC 9/11 Public Portal Document
JAN-18-c00t3td9:32A FROM:SERVICE 914663416 TO:912126373105 P:5.,5
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;Part ,8 General Y forn t1on
Date of Eva uat,on: .141-7-17/02* Building contact nainc and phone•
Esaluatipn Team (list name and affiliation)
(EnVirbnntental, ro essional
•
( AUElectrical Pro esstorial)
Building Address: (Sheet Metal Professional)
•Tjpe ofFacility (check all that apply):
'+ •Residential -
tJ W : yov ice.• ,. •
Multi4Js6 • •
1J Other (describe) . ..
• •N'umber.of residential units: •
• Numbcr of floors:
>t'AC SysteIn 'ypes {t hec1 all that apply) , •. •
Unit t•entilator (singl: residence unit).
1I aI h'•indois AC unit (single residence unit)
Fan coil unit (single re idetic unit) . .
•
Central ventilation system •
Heat pump unit (singl residence unit
P8ssive sha('t, dust,
rj
•
Otber (describ •
..
•
Location of outside air intake:
Otttside.tair intake accessible fo: inspection • l\' (explain)
.•.. w•v 6.fiLbJllt. l~ .
2.1 Vcrttilators, wall air conditioning units and window atr
conditioning':•nits in common spaces
Yenti ation System Identification:
a~'t ~y-t+.ivai ~—~ s~-~;•,r~etit-
Location:
Access adequate for inspection of components:
S
Dus'Airt / ebiis . Suspect W1•T -Related Dust
• • System Component •
Substrate Material
• (sheet metal wrapped) Light H_, av
System Components (sheet metal lined) Nohe (<l'1( Psesrnt? Estimate % of total duust
is:h (21'16 irrl
• (fiberglass) depth) (1'n•) loading
depth
• (flexible connector)
(double walled)
Outsitit air intake ioi:rers, g:a:es
raa cr screens
Ou:side air dote —' `----~
lu:sEd: air da.;,p::(s)
Petatd ae griiit
Rctum a:: p:nm •
•
Filar rac •
ri i..•~ _a:_ ! :r
heaters (in suPPI}~a~- -
coatte to unit ten iato.S)
fiat d:.•nptt3 .
L'nuns vanes '-
%W.! air plt.•ii;m cr s ph' duct •
u;piy air plenum er supply dust •
liner
•
2.1 Ventilators, all air conditioning units and window
air conditioning units In common spaces (cont.
NYC-WTC 000132754
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