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Document / 17 pages

HVAC ventilation system inspection checklist guidance, Dec 2002

Machine-extracted title · confidence 85%

EPA forwards revised HVAC cleaning checklist and proposes meeting to brief DEP staff and contractors on implementation procedures.

NYC-WTC_000162671–000162687

Folder label: “E-mails 2002 M. Gilsenan

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NYC 9/11 Public Portal Document

VENTILATION SYSTEM EVALUATION FORM Please complete this form in accordance with instructions in the accompanying guidance document Part 1.0 General Information Date of evaluation: Building contact name and phone:

Evaluation team (list name and affiliation): (Environmental professional) (HVAC professional) Building address: Type of Facility (check all that apply): 23 Residential 2] Multi-use 23 Other (describe) Date of construction: Number of residential units: Number of floors: Prior inspection report/maintenance records available for review?:

Other comments

Ventilation system types (check all that apply and indicate total no. of units) O Central ventilation system O Mechanical exhaust system

Est. no. of units_______ ____ Est. no. of units O Mechanical make-up air system □ Passive shaft/duct

Est. no. of units Est. no. of units □ Other (describe)

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

Ventilation System (HVAC) Evaluator Date

Part 2.0 Visual Inspection Forms Use the attached forms to document visual inspections. Complete the forms in accordance with instructions in the accompanying guidance document.

NYC-WTC_000162673

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NYC-WTC_000162673Source: NYC Law Department, mirrored locally

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