HVAC cleanup proposal for residential units, Feb 2003

NYC 9/11 Public Portal Document AUG-06-2002 12:19 FROM DEP LEGAL TO 4422 P.06/06

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I understand that I, or my authorized representative, may be present and observe the Scope A cleaning and monitoring activities being performed in the Residence if I choose “modified aggressive” air sampling of toe Residence. I understand that if I choose "aggressive" air sampling of toe Residence, I may only be present for the cleaning, but not for toe “aggressive” air sampling. Following "aggressive” air sampling of toe Residence, I understand that neither I nor toe occupants of toe Residence will be allowed to return to toe Residence until 48 hours after the beginning of "aggressive" air sampling. I, or my authorized representative, agree to comply wito health and safety instructions that may be provided by EPA and/or NYCDEP’s contractors for activities in the Residence under the Program.

I agree that insurance payments and/or any other compensation which I received, or will receive in the future, for activities covered by the Program at the Residence, and which I have not spent for such purposes, will be paid to the Federal Emergency Management Agency. Instructions for such reimbursement will be provided upon request to EPA.

SAMPLING APPROACH

I understand that if I choose "aggressive” air sampling of the Residence, an electric-powered leaf blower will be used to direct air onto all surfaces and personal property, and one or more oscillating fans will be used to circulate air throughout the areas being sampled.

I understand that if 1 choose "modified aggressive" air sampling of the Residence, one or more oscillating fans will be used to circulate air throughout toe areas being sampled.

I understand that the air will pass through a filter and be sampled. I also understand that wipe samples of surfaces may be collected and analyzed.

I understand that at the conclusion of the investigation, EPA will provide the undersigned with the results of the monitoring of the Residence. Monitoring data in 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 on behalf of all the occupants of the Residence.

Signature Date

Name and Title (PRINT)

TOTAL P.06

NYC-WTC_000148073