NYC 9/11 Public Portal Document
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2.4 Passive Shat'ti')uct Visual Inspection Form
Passive Shaft/Duct Identifi:mtion:
ImA,ct. Fo 1lE ELEvfTb . coH.
Location: Area Served:
tf t ~oD Eca'vMoR ieD0?
Surface Component
Dust/ WTC • not present
System Components Dust
Debris . not found
[NOTE: If component not. present (NP), not found (Np or inaccessible (1) please Present? Present? . inaccessible
Indicate In last column]
Outside air Intake (if sericing supply air): Location:
Accessible for Inspection? Y V1 N (ex-plain):
— louvers, grates, screens or weather cap
Exhaust outlet/louver (if servicing exhaust air): Location:
Accessible for inspectioni Y Y N (explain):
— louvers, grates, screens or weather cap
Supply air distribution (f servicing supply air):
— Supply air outlet(s) Est. total qty 9 No. locations inspected Z
Specify shaft substrate (circle): fibrous mass lined metal tit
fibrous aless board t nod
— Accessible fire dampers Eat. total qty No. locations inspected
.. tip
— Pipes/mechanical equipment, etc. located in shaft
Return air distribution i.lf servicing exhaust air):
— Exhaust air inlet(s) Est total qty i No. locations inspected
Specify shaft substrate .circle): ) fibrous glass lined metal masomv
fibrous alas board flex-duct d N
— Accessible fire damper:; Est. total qty No. locations inspected N?
— Pipes/mechanical equipment, etc. located in shaft
Other (specify):
Other Information:
General impression (ineicate recommendations for cleaning based on finding of WTC dust):
S x ') 1N 'T{0t ? ucT.
tt3iC etATfM M u %T w lkS e
.~ !~© C.rLC^NrtJCq tS ZCC>wP,4Ea Kok. u7Te F-6LATEJ) DUST.
KEY: NP = not resent; NF = not found; I = inaccessible• U : unknown
NYC-WTC 000135404
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