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HVAC system inspection form, WTC dust survey

Machine-extracted title · confidence 75%

Inspection form for HVAC components including outside air intake and exhaust outlets, assessing accessibility and presence of WTC dust contamination.

NYC-WTC_000140023

Folder label: “EPA HVAC ACTION PLAN (Indoor Clean up)

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Scanned page image, NYC-WTC_000140023
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

2.4 Passive Shaft/Duct Visual Inspection Form Page 1 of 1

Passive Shaft/Duct Identification: Location: Area Served:

Surface Component System Components Dust/ WTC not rNOTE: if component not present (NP), not found (NF) or inaccessible (I) please Debris Dust present indicate in last column] Present? Present? not found § inaccessible Outside air intake (if servicing supply air): Location:

Accessible for inspection? Y N (explain):

louvers, grates, screens or weather cap Exhaust outlet/Iouver (if servicing exhaust air): Location:

Accessible for inspection? Y N (explain):

louvers, grates, screens or weather cap Supply air distribution (if servicing supply air): Supply air outlet(s) Est. total qty No. locations inspected Specify shaft substrate (circle): metal fibrous glass lined metal masonry fibrous glass board flex-duct wood

Accessible fire dampers Est. total qty No. locations inspected Pipes/mechanical equipment, etc, located in shaft_______________________ P Return air distribution (if servicing exhaust air): Exhaust air inlet(s) Est. total qty No. locations inspected Specify shaft substrate (circle): metal fibrous glass lined metal masonry fibrous glass board flex-duct wood

Accessible fire dampers Est. total qty No. locations inspected Pipes/mechanical equipment, etc. located in shaft Other (specify):

Other Information:

General impression (indicate recommendations for cleaning based on finding of WTC dust):

NYC-WTC_000140023

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NYC-WTC_000140023Source: NYC Law Department, mirrored locally

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