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 DO
NOT have a significant amount
of dust.
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 HyAC system, p/ease skip to question IV.
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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