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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 20 <br /> Figure 1. continued <br /> INDOOR AIR BUILDING SURVEY AND SAMPLING FORM(continued) <br /> Level General Use <br /> (e.g.:family roam;bedroom;laundry;workshop:storage) <br /> Basement <br /> 1�Floor <br /> 2 d Floor <br /> 3A Floor <br /> 4th Floor <br /> (Use additional page(s)as necessary) <br /> 5. CONSTRUCTION CHARACTERISTICS: (Circle all that apply.) <br /> a_ Above Grade Construction: (Describe type: wood frame,concrete,stone,brick)- <br /> b. Basement Type: Full Crawlspace Slab Other: <br /> c. Basement Floor: Concrete Dirt Stone Other: <br /> d_ Finished Basement Floor: Uncovered Covered <br /> If covered,what with? <br /> e_ Foundation Walls: Poured Block Stone Other: <br /> f. Foundation Walls: Unsealed Sealed Sealed with: <br /> g_ The Basement is: wet Damp Dry <br /> h_ The Basement is: Finished Unfinished Partially Finished <br /> i. Sump Present(Y f N) If yes,haw many? <br /> Where Discharged? <br /> Water in Sump? Yes No Not Applicable <br />