WTC HVAC Inspection Report, 130 Water 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 D.,..~ I (1 CAnoral Tnfnrmatinn

ate of evaluation: /03 Building contact name and phone: I valuation team (list name an affiliation): (Environmental professional) (HVAC professional) Building address: Type of Facility (check all that apply): L30 W F} „JL iResidential N i i o ►L Multi-use Other (describe) Date of construction: Number of residents 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 1 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.

VentilelojSjt ( yAC) Evaluator Date 2ly 03 isualinspection Forms Use the attached forms to document visual inspections. Complete the forms in accordance with instructions in the accompanying guidance document.

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NYC-WTC 000133771