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No <br /> N/A <br /> Vents or Windows above-grade in exposed basement? <br /> Yes <br /> No <br /> N/A <br /> Unfinished Basement? <br /> Yes <br /> No <br /> N/A <br /> Evidence of moisture intrusion into Basement from Soil? <br /> Yes <br /> No <br /> N/A <br /> Factors Potentially Influencing Indoor Air Quality <br /> Is there an attached garage? <br /> Yes <br /> No <br /> N/A <br /> Is there smoking in the building? <br /> Yes <br /> No <br /> Is there new carpet or furniture? <br /> Yes <br /> No <br /> N/A <br /> Have clothes or drapes been recently dry cleaned? <br /> Yes <br /> No <br /> N/A <br /> Has painting or staining been done within the last six months? <br /> Yes <br /> No <br /> N/A <br /> Has the building been recently remodeled? <br /> Yes <br /> No <br /> N/A <br /> Building Survey Form Page 8 <br />