NYC 9/11 Public Portal Document
-2-
I understand that the Program activities will require access, among other things, to the common areas and
heating, ventilation and air condition systems (“HVAC”), the interior spaces, storage areas, elevators, and
furnishings such as carpeting and upholstered furniture in the common areas of the Building, and use of
the Building’s electricity and water. Cleaning activities will be performed, as necessary, throughout the
entire Building and for the HYAC system.
I understand that the Program will employ, various methods of dust removal from all surfaces, mcluding,
but not limited to, vacuuming, steam cleaning and wet wiping.
I understand that I, or my authorized representative, may be present and observe the Scope A cleaning
and monitoririg activities being performed in the Building.
I agree that insurance payments and/or any other compensation which was received for the Building, or
will be received in the future, for activities covered by the Program for the Building, and which has not
been spent for such purposes, will be paid to the NYCDEP. Instructions for such reimbursement will be
provided upon request to EPA. \
SAMPLING RESULTS
I understand that at the conclusion of the investigation, EPA will provide the undersigned with the results
offhe monitoring of the Building. Monitoring data^n EPA’s data base for the Program will be made
available to the public, but the identity of the participants will be kept confidential.
AUTHORIZED SIGNATURE
I certify that I am authorized to make this request for the Building.
Signature Date
Name and Title (PRINT)
NYC-WTC_000140943
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