NYC 9/11 Public Portal Document
AUG-06-2002 12:19 FROM DEP LEGAL TO 4422 P.05/06
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present and observe the Scope A.
I understand that I, or my authorized representative, may be
Residence if I choose "modified
cleaning and monitoring.activities being performed in the
choose "aggressive" air sampling of
aggressive" air sampling of the Residence. I understand that if I
for the "aggressive" air sampling.
the Residence, I may only be present for the cleaning, but not
that neither I nor the occupants
Following "aggressive" air sampling of the Residence, I understand
until 48 hours after the beginning of
of the Residence will be allowed to return to the Residence
agree to comply with health and safety
"aggressive" air sampling. I, or ray authorized representative,
for activities in the
instructions that may be provided by EPA and/or NYCDEP's contractors
Residence under the Program.
compensation which I received, or will receive in
I agree that insurance payments and/or any other
and which I have not spent for
the future, for activities covered by the Program at the Residence,
Agency. Instructions for such
such purposes, will be paid to the Federal Emergency Management
reimbursement will be provided upon request to EPA.
SAMPLING APPROACH
Residence, an electric-powered leaf
I understand that if I choose "aggressive" air sampling of the
or more oscillating
blower will be used to direct air onto all surfaces and personal property, and one
fans will be used to circulate air throughout the areas being sampled.
Residence, one or more
I understand that if I choose "modified aggressive" air sampling of the
oscillating fans will be used to circulate air throughout the areas being sampled.
understand that wipe
I understand that the air will pass through a filter and be sampled. I also
samples of surfaces may be collected and analyzed.
provide the undersigned with the
I understand that at the conclusion of the investigation, EPA will the Program will
results of the monitoring of the Residence. Monitoring data in EPA's data base for
confidential.
be made available to the public, but the identity of the participants will be kept
AUTHORIZED SIGNATURE
of the Residence.
I certify that I am authorized to make this request on behalf of all the occupants
Signature Date
Name and Title (P
TOTAL P.06
NYC-WTC 000148073
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