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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 9/11 Public Portal Document

2. Passive Shaft/Duct Visual Inspection Form Page 1 of 1

Passive Shaft/Duct Identification: ((L fr'TAK.( Location: VA—M Area Served: 1—EV 2 --- Surface Component System Components Dust/ WTC 4 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

Inaccessible Outside air intake (if servicing supply air): Location: E jp 2 Q.rt floes ti A) Accessible for inspection? Y I N (explain):

louvers, grates, screens or weather cap 1J Exhaust outlet/louver (if servicing exhaust air): Location:

Accessible for inspection? Y N (explain):

louvers, grates, screens or weather ca Supply air distribution (if servicing supply air): Supply air outlet(s) Est. total qty I No. locations inspected t Specify shaft substrate (circle): - metal fibrous glass lined metal masonry '1 fibrous glass board flex-duct wood

Accessible fire dampers Est. total qty No. locations inspected N Pies/mechanical equipment, etc. located in shaft P N 0 Return air distribution (if servicing exhaust air): Exhaust air inlet(s) Est. total qty No. locations inspected Specify shaft substrate (circle): metal fibrous glass lined metal masonry fibrous glass board flex-duct wood

Accessible fire dam ers Est. total No. locations ins ected Pipes/mechanical equipment, etc. located in shaft Other (specify):

Other Information:

General impression (indicate recommendations for cleaning based on finding of WTC dust):

KEY: NP = not present; NF = not found; I = inaccessible; U = unknown

NYC-WTC 000132807

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NYC-WTC_000132807Source: NYC Law Department, mirrored locally

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