NYC 9/11 Public Portal Document
SECTION 5. Information for samples taken from RESIDENTIAL UNIT 1 (continued)
Q. Is this unit currently occupied? Y N
Is there a separate HVAC system for this residential unit? Y N
Is there a significant amount of dust that would preclude aggressive sampling? Y N
Recommend: Aggressive sampling for unoccupied residential units that have their own HVAC and HO
NOT have a significant amount
ofdust.
R. Did this unit meet the criteria to be aggressively sampled? Y N
If YES, was this unit aggressively sampled? Y N
If this unit met the criteria for aggressive sampling and was not aggressively sampled, why not?
If this unit does not have it’s own HVAC system, please skip to question W.
S. What type of filter is used? High Efficiency Filter Regular Filter Not Sure
Filter Name
Filter Size
Filter Type Paper Electrostatic Fiberglass _____ Other
(describe)
Filter Efficiency Rating
Has the filter been changed since the WTC collapse? Y N Not Sure
If yes, date_________________________________
Have the ducts been cleaned since the WTC collapse? Y N Not Sure
If yes, date_________________________________
Does the system recycle air? Y N Not Sure
If yes, what percent of the air is recycled? % Not Sure
Has the system been recycling since the WTC collapse? Y N Not Sure
T. Has the HVAC system been SERVICED since the WTC collapse? Y N Not Sure
If yes, date___________________________________
U. Has the HVAC system been CLEANED since the WTC collapse? Y N Not Sure
If yes, date___________________________________
V. Was the HVAC fan ON during the entire air sampling period Y N Not Sure
If NO, how long did the fan run (in hours)? hours
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NYC-WTC_000164755
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