WTC HVAC Inspection Report, 50 [Street], Feb 2003

NYC 9/11 Public Portal Document

VENTILATION SYSTEM EVALUATION FORM Please complete this form in accordance with instructions in the accompanying guidance document Part 1.0 General In or ation Date of evaluation: !L/!/o3 I Building contact name and phone: 'valuation team (list name an affiliation):

- n. e_,- t u s ;-A-2 S (HVACjofessional) I Buildin address: Type of Facility (check all that apply): 5o pj,,, VResidential Nr Multi-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 3 Mechanical make-up air system Passive shaft/duct

Est. no. of units Est. no. of units Other (describe)

I certify that to the best of my knowledge, the information and observations recorded on this form including all attachments are a true and accurate representation of site conditions.

Ven St AC) Evaluator Date..2,1I/o3

Par M.0 isual spection Forms Use the attached forms to document visual inspections. Complete the forms in accordance with instructions in the accompanying guidance document.

NYC-WTC 000133763