44-25 Exhibit B-Complete - VI Letter Report - DPW West Orange - April 2023.pdf

New Jersey Department of Environmental Protection INDOOR AIR BUILDING SURVEY and SAMPLING FORM Eric Snee Preparer’s name: ____________________________________ 4/1/2023 Date: __________________________ CME Associates Preparer’s affiliation: ________________________________ (732) 951-2101 Phone #: _______________________ Department of Public Works SRP PI No. 014423 Site Name: __________________________________________ Case #: ________________________ Part I - Occupants 25 Lakeside Avenue, West Orange, NJ 07052 Building Address: ____________________________________________________________________ 16 115 Building Block: _____________ Lot: ____________ Superintendent of Public Works Joe Pelose Property Contact: ________________________ Owner / Renter / other: _______________________ Contact’s Phone: home ( 325-4153 )__________ work (973)______________ cell ( )____________ Part II – Building Characteristics Building type: residential / multi-family residential / office / strip mall / commercial / industrial Describe building: _____________________________________ masonry bldg. - DPW Offices Maintenance/Storage Garages ___ &_______________________ Sensitive population: day care / nursing home / hospital / school / other (specify): _______________ Number of floors below grade: ______ (full basement / crawlspace / slab on grade) 0 Approx. depth of basement below grade surface: ______ NA ft. Basement size: _______ NA ft2 Basement floor construction: concrete / dirt / floating / stone / other (specify): ________________ Foundation walls: poured concrete / cinder blocks / stone / other (specify) ________________ Basement sump present? Yes / No Sump pump? Yes / No Water in sump? Yes / No Trench drains in garages formerly discharged to grit boxes outside bldg. Are the basement walls or floor sealed with waterproof paint or epoxy coatings? Is there a whole house fan? Yes / No Yes / No Exhaust fans in garages Type of ground cover outside of building: grass / concrete / asphalt / other (specify) _____________ Existing subsurface depressurization (radon) system in place? Yes / No active / passive Sub-slab vapor/moisture barrier in place? Yes / No Type of barrier: ____________________________ What Type of Heating System does the building have (past & current)? Offices - forced air & electric baseboard; Maint. garage -

arrier in place? Yes / No Type of barrier: ____________________________ What Type of Heating System does the building have (past & current)? Offices - forced air & electric baseboard; Maint. garage - infrared; _____________________________________________________________________________________ Storage garage - not heated (formerly gas-fired units) D-1