NYC 9/11 Public Portal Document
-3-
treatments, furniture, windows, air conditioning/heating units and appliances. The cleaning will also
address surfaces of smaller items such as lamps, books and decorative items, but will not include
clothing.
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 iff choose “modified
aggressive” air sampling of the Residence. I understand that if I choose “aggressive” air sampling of
the Residence, I may only be present for the cleaning, but not for the “aggressive” air sampling.
Following “aggressive” air sampling of the Residence, I understand that neither I nor the occupants
of the Residence will be allowed to return to the Residence until 48 hours after the beginning of
“aggressive” air sampling. I, or my authorized representative, agree to comply with health and safety
instructions 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 NYCDEP. 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 iff choose “modified aggressive” air sampling of the Residence, one or more
oscillating fans will be used to circulate air throughout the areas being sampled.
1 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
NYC-WTC_000149983
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