NYC 9/11 Public Portal Document
h^c residential plan oct j s.wfd Page 16|
**^^j)RAFT****
If YES, describe
7. Have you been using your heating/AC system since the WTC event?
__ Yes __ No
If YES, is it recirculating air or drawing from the outside?
8. Is your heating/AC system in your apartment/condominium (vs. a bldg-contoUed sy stem)?
__ Yes __ No
If YES, what type of filter do you have (describe)?
Name_______
Size ______
Type _______
What was the date of the last filter change?
9. Do you or does anyone who lives here, or visits frequently, smoke tobacco products?
_Yes No
I
10. During this air and dust sampling, did you:
Cook on the stove
__ Yes __ ^No
If yes, was the exhaust fan on
__ Yes __ No
Have a fire in your fireplace
__ Yes __ No
Smoke cigarettes or other tobacco
__ Yes __ No
Clean or vacuum
__ Yes __ No
If yes, describe
Bum candles, incense, etc.
I
__ Yes __ ^No
I
Open your windows
__ Yes __ No
Turn off the heating/AC system fan (it should be on during the entire sampling period)
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