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Page_of <br /> Is the basement used as a living/work space area? <br /> What type of foundation does the building have (circle) Field stone/Poured concrete/Concrete block <br /> Other? <br /> Describe the heating system and type of fuel used? <br /> Is there an attached garage? <br /> Was the building aired out prior to sample collection? <br /> How long was the airing out process? <br /> Were vapor control methods in effect while the samples were being collected? <br /> Windows open? Yes/ No Ventilation fans? Yes/ No Vapor barriers? Yes/ No <br /> Vapor phase carbon treatment system? Yes/No SSDS? Yes/No Other site control <br /> Potential Vapor entry points Present Field Comments <br /> (Y/N) screening <br /> results ppm <br /> Foundation penetrations in floor or <br /> walls <br /> Cracks in foundation floor or walls <br /> Sump <br /> Floor drain <br /> Other <br /> Other <br /> Location Field SDS: listed <br /> Potential VOC Present screening Product Description and chemicals <br /> source (Y/N) Results Condition <br /> (ppm) <br /> Paints or paint <br /> thinners <br /> Gas powered <br /> -equipment <br /> Gasoline storage <br /> cans <br /> Cleaning solvents <br /> Furniture polish <br /> Moth balls <br /> Fuel tank <br /> Wood stove <br /> Fireplace <br /> -Perfumes/colognes <br /> Other: <br /> Other: <br /> Other: <br />