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Ventilation System Evaluation Form, Nov 2003

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A ventilation system evaluation form for a multi-use facility with 300 residential units and nine floors.

NYC-WTC_000132758–000132807
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NYC 9111 Public Portal Document

2:1 Central Ventilation System Visual Inspection Form pane 1 —f Ventilation S tem Identification: 1t -i-1 tJh VA-Tp G Location: Area Served: V A , t7 2 2Yj Associatedmechanical room: clean Y N Y N stored chemicals/refuse Y N Surface Component System Components S Dust/ WTC not [NOTE: if component not present (NP), not found (NF) or Inaccessible (I) please Debris Dust present indicate in last column] Present? Present? not found 4 Inaccessible Outside air Intake: Location:

Accessible for inspection? Y N (explain): N r louver' , grates and/or screens ' r.J P outside air duct ti.! P outside air damper(s) P Air handling unit: outside air mixing chamber N filter rack s filter media N blower assembly incl. blower wheel, blower housing, air vanes, in-line noise attenuators Al blower housing acoustical linin N pre-heat coils N. heating coils N (~ cooling coils PJ re-heat coils N condensate drain pan „J . supply air plenum ri supply air plenum damper(s) N vibration collars N t? Supply air distribution: Supply air ducts Est. total in ft No. locations inspected I Specify type (circle) meta _fibrous glass lined metal masonry fibrous class board 1/ flex-duct wood

Accessible in-line fire dampers Est. total gty No. locations inspected tv (~ Accessible turning vanes Est. total gty No. locations inspected ;j In-line reheat/cooling coils Est. total gty No. locations inspected /.f Supply air diffusers Est. total gty No. locations inspected Al Return air distribution: Return air ducts Est. total In ft No. locations inspected 1 Specify type (circle): etal fibrous glass lined metal masonry fibrous glass board flex-duct wood

Return air plenum Est. total RA plenum areas 1 No. locations inspected I Return air plenum damper Est. total qty No. locations inspected Accessible in-line fire dampers Est. total qty No. locations inspected j P

NYC-WTC 000132759

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NYC-WTC_000132759Source: NYC Law Department, mirrored locally

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