HVAC consulting services invoice, NYC WTC site, 2003

NYC 9/11 Public Portal Document . iii. ` jj•~ j jv,N R r 1 LM L'' VALUATI ON FORM Please complete this form in accordance with instructions in the accompanying guidance Part 1.0 document General h3f0rp3at10n Date of evaluation: I Building contact name and hone: Evaluation team list name and affiliation):

A I. L Environmental rofessic Building address: ST AC professional) Type of Facility (check all that apply): Residential ~✓~ w J2 tU Multi-use Other describe Date of construction: Number of residents units: Lt Prior inspection report/maintenance records Number of floors: available for review?:

Other comments A

Ventilation system types (check all that and indicate total no. of units) Central ventilation system Mechanical exhaust system Est. no. of units U f Est. no. of units `~ Mechanical make-up air system Passive shaft/duct Est no. of units Other (describe) Est. no. of units 1

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

Vent' at' te, (H ) Evaluator' Date// P r .0 isual Inspection Forms Use the attached forms to document visual inspections. Complete the forms instructions in the accompanying guidance in accordance with document.

NYC-WTC 000135360