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This is not a web form. Please print and fill out Indoor Air Quality: 1) Has an analysis of indoor air ever been performed for any of the buildings on your campus? ___no; ___yes, please explain 2) Are all the buildings on your campus "smoke-free" (smoking of tobacco products prohibited within)? ___yes; ___no, please explain 3) How would you characterize compliance with any no-smoking restrictions in the buildings of your campus? ___ excellent; ___ good; ___ fair; ___ poor. 4) Have there been any significant complaints about your institution’s actions in enforcing its no-smoking policies? ___no; ___yes, please explain 5) Exhausts from idling engines of motor vehicles parked outside campus buildings sometimes makes its way into interior spaces. Has this been a problem at your campus? ___no; ___yes, please explain 6) Have any actions been taken to deal with the problem identified in #5 above? ___not applicable; ___yes, please explain 7) Are campus buildings regularly treated through any pest control programs, or with pest control substances? ___no; ___yes, please explain 8) Have any health complaints coincided with the application of pest control substances in campus buildings? ___no; ___yes, please explain 9) Please briefly describe air quality protection measures employed in any campus buildings that routinely experience air degradation problems (labs, workshops, printshops, etc.). 10) Are cleaners, polishes and other products regularly used by housekeeping staff assessed for their impact on indoor air quality? ___no; ___yes, please explain 11) Do housekeeping staff ever complain about health problems associated with the use of certain products used in fulfilling their housekeeping duties? ___no; ___yes, please explain 12) Are any precautions taken when repairs and maintenance of indoor areas require application of paints and solvents, or the use of adhesives and other chemicals which contain alerts and warnings on container labels? __no; __yes, please explain 13) Do any of your institution’s structures still have asbestos problems? __no; __yes, please explain 14) In your judgment, has asbestos removal been satisfactorily completed at your institution? ___no; ___yes, please explain 15) How frequently are air filters changed in campus ventilation systems? please briefly explain 16) Have any campus structures ever been tested for radon? ___no; ___yes, please explain 17) Are any campus structures equipped with carbon monoxide detection devices? ___no; ___yes, please explain Geraldine R. Dodge Foundation New Jersey Board of Public Utilities NJHEPS Corporate Sponsors AT&T Foundation AT&T, Inc. and its 42 Member Institutions |