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ITO E RO E K SOP No.026,REV.1 <br /> ASSOCIATES,INC INDOOR AIR AND SUB-SLAB SOIL GAS SAMPLING METHODS <br /> PAGE 19 <br /> Figure 1. continued <br /> INDOOR AIR BUILDING SURVEY AND SAMPLING FORM(continued) <br /> 3. SENSITIVE POPULATION: <br /> DaycaraiNursing HomefHospital!SchoeUOther(specify): <br /> 4. BUILDING CHARACTERISTICS: <br /> Residential/Multi-family ResidentiallOfficeIStrip MaIVCommerciaUlndusbiaUSchool <br /> Describe Building: Year Constructed- <br /> Number of floors at or above grade: <br /> Number of floors below grade: (full basemenUcrawl spaoelslab on grade) <br /> Depth Df structure below grade: ft. Basement sze: ft2 <br /> If the property is residential,what type? (Circle all appropriate responses.) <br /> Ranch 2-Family 3-Family Raised Ranch <br /> Split Level Colonial Cape Cod Contemporary <br /> Mobile Home Duplex Apartment House TDwnhousegGondos <br /> Modular Log Home Other_ <br /> If multiple units,how many? <br /> If the property is commercial: <br /> Business types) <br /> Does it include residences(i.e..multi-use)? Yes No If yes,how many? <br /> 5. OCCUPANCY: <br /> Is basementllowest level occupied? (Circle one) <br /> Full-time Occasionally Seldom Almost Never <br />