NYC 9111 Public Portal Document
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Date of Evaluation: • T1' . Building:contact naive and phone:
Evaluation Team (list name• and affiliation):. ; ••
(Envirorunental .Professional)
•_
.:~ v• ~ •' (HVAC E ctrical Professional)
(Sheet Metal Professional)
Building Address I Type of Facility (check all that apply):
q tWAj. Residential
/ 1j Multi-use .
Other (describe)
Number.of residential units: • . • Number of floors:
HVAC S}stem T)pes (check all that apply)
fl Unit ventilator (single residence unit). Wall/window AC unit (single residence unit)
Fan coil unit (single re idence unit) Central ventilation system
- Beat pump unit (single residence unit) Passive shaftlduct.
Otber'(descn'bt)
Location of outside air intake:
Outside.eir intake accessible for'inspection • Y N (explain) . S '
Part 2.0 Checklists
2.1 Ventilators, wail air conditioning units and window air conditioning:nits In common ;paces
Ventilation System Identification: ' .,~
S
Location:
Access adequate for inspection of components: - ,
•Dust,'Dirt / Debris Suspect WTC-Related Dust
System Component
Substrate Material
• (sheet metal wrapped) Light Heavy
System Components (sheet metal lined) Noire (<3/16 inch (2 1/16 inch present' Estimate % of total dust
(fiberglass) depth) depth 0Ii) 'loading
(flexible connector)
(double walled) •
Outside air intake louvers, grates (
and,'or screens •
Outside air duct
Outside air damper(s)
Return air grille • ,
Return air plenum •
Filter rack '
Filter media
Coils (evaporator) •
Blower assembly
Condensate drain pan
In-line electrical resistance strip -
hea:ers (in supply ducts S + j
connected to unit ventilators)
Fire dampers . f I III
Turning vanes :
Supply air plenum or supply duct f
Supply air plenum or supply duct
liner '
Supply air diffuser . i
2.1 Ventilators, wall air conditioning units and window air conditioning units In common spaces (cont.)
NYC-WTC 000133917
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000133917Source: NYC Law Department, mirrored locally