NYC 9/11 Public Portal Document
Part IA) General Information '
Date of Evaluatior I Jo'.
Building:contact name and phone:
•valuation Team (list name.and affiliation):.
k ~'
..
:
(Environmental .Professional)
•
•
WACIElectrical Professional)
• •
. (Sheet Metal Professional)
Building Address: • Type of Facility (check all that apply.):
Q. -- Residential
. 1J Multiuse
0ther(describe)
Number.of residential units: . . Number of floors:
BVAC S}stern Types (check all that apply)
Unit ventilator (single residence unit) jJ Wall/window AC unit (single residence unit)
O
Fan coil unit (single residence unit) • Central ventilation system
Heal.pump unit•(single residence unit) • •
Passive s aft/duct •
Other'(descn'be) •
Location of outside air intake:
Outside air intake accessible for inspection • Y N (explain)
Yart 1.0 Checklists
2.1 . Ventilators, wall air conditioning units and window air conditioning : nits in common spaces
Ventilation System Identification:
Location:
Sw.*-UA — —S . 4 c •.
~ C ter— t .A *.. -t rt - 0.
Access adequate for inspection of components: .
Dust/Dirt! Debris Suspect VTC-Related Dust
System Component
Substrate Material
(sheet metal wrapped) Light Heavy
System Components (sheet metal lined) Noire (</16 inch (2 3/16 inch Present? Estimate % of total dust
(fiberglass) depth) depth (YT') 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 .
heaters (in supply ducts •• • .
connected to unit ventilators) '
Fire dampers •
Turning vanes •
Supplyair plenum or supply duct ' .. ________ .
apply air plenum or supply duct
liner ' ' .
Supply air diffuser . .
2.1 ♦'entilators, wall air conditioning units and window air conditioning
units In common spaces (coat.)
NYC-WTC 000135353
OCR can misread numbers and units. Confirm readings against the page image before using them.