Attachment F1 – Survey Items
Survey Items by Contaminant Group
Attachment F1. Survey Items by Contaminant Group
Number |
Question |
Asbestos |
Dioxin |
Mercury |
Metals |
PAHs |
PCBs |
Volatiles |
1 |
Avoid outdoor activity such as working, playing, gardening, and yard work during very windy days |
Yes |
--- |
--- |
Yes |
Yes |
--- |
--- |
2 |
Avoid outdoor activity such as working, playing, gardening, and yard work when you think there is an air release or burning at the site |
--- |
Yes |
Yes |
Yes |
Yes |
Yes |
--- |
3 |
Bathe or brush family animals such as cats and dogs |
Yes |
--- |
--- |
--- |
--- |
--- |
Yes |
4 |
Change clothes soon after outdoor activity such as working, playing, gardening, and yard work |
Yes |
--- |
--- |
Yes |
Yes |
--- |
Yes |
5 |
Clean shoes before entering house |
Yes |
--- |
--- |
Yes |
--- |
--- |
Yes |
6 |
Close windows and doors when you think there is an air release or burning at the site |
--- |
Yes |
Yes |
Yes |
Yes |
Yes |
--- |
7 |
Cover bare soils with grass or mulch |
Yes |
--- |
--- |
--- |
--- |
--- |
--- |
8 |
Damp dust home rather than dry dust |
Yes |
Yes |
--- |
Yes |
--- |
Yes |
--- |
9 |
Drink bottled water |
--- |
--- |
--- |
Yes |
Yes |
--- |
Yes |
10 |
Drink milk from local dairies |
--- |
Yes |
--- |
--- |
Yes |
--- |
--- |
11 |
Drink tap water from area of concern |
--- |
--- |
--- |
--- |
Yes |
--- |
Yes |
12 |
Drink unfiltered water from creeks, streams, or rivers |
--- |
--- |
--- |
Yes |
Yes |
Yes |
Yes |
13 |
Drink water from outdoor hose |
--- |
--- |
--- |
--- |
Yes |
--- |
Yes |
14 |
Eat fruits or vegetables grown in areas of concern |
--- |
Yes |
--- |
--- |
Yes |
Yes |
Yes |
15 |
Fill pool with unfiltered water |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
16 |
Fish on the site |
--- |
Yes |
Yes |
--- |
--- |
Yes |
--- |
17 |
Follow beef advisories |
--- |
Yes |
--- |
--- |
Yes |
Yes |
--- |
18 |
Follow drinking water advisories |
--- |
--- |
--- |
Yes |
Yes |
--- |
Yes |
19 |
Follow egg advisories |
--- |
Yes |
--- |
--- |
--- |
--- |
--- |
20 |
Follow fish consumption advisories |
--- |
Yes |
Yes |
Yes |
Yes |
Yes |
--- |
21 |
Follow posted signs |
--- |
Yes |
--- |
Yes |
Yes |
Yes |
--- |
22 |
Follow recommended fish preparation guidelines |
--- |
Yes |
Yes |
Yes |
Yes |
Yes |
--- |
23 |
Follow recommended ventilation practices |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
24 |
Follow shellfish consumption advisories |
--- |
Yes |
Yes |
Yes |
Yes |
Yes |
--- |
25 |
Follow traditional (subsistence) food selection practices |
--- |
Yes |
Yes |
Yes |
Yes |
Yes |
|
26 |
Follow traditional (subsistence) food preparation customs |
--- |
Yes |
Yes |
Yes |
Yes |
Yes |
|
27 |
Follow water use advisories |
--- |
--- |
--- |
--- |
Yes |
--- |
Yes |
28 |
Hunt on the site |
Yes |
Yes |
--- |
--- |
Yes |
Yes |
--- |
29 |
Keep children from biking, playing, or doing other activities in areas of concern |
--- |
Yes |
--- |
Yes |
Yes |
Yes |
Yes |
30 |
Keep children from crawling or playing on the floor |
Yes |
--- |
Yes |
Yes |
--- |
Yes |
--- |
31 |
Keep children from drinking water from outdoor hose |
--- |
--- |
--- |
--- |
Yes |
--- |
Yes |
32 |
Keep children from playing in muddy soils |
Yes |
--- |
--- |
--- |
--- |
--- |
Yes |
33 |
Keep children from playing in water from an outdoor hose such as with a sprinkler or slip and slide |
--- |
--- |
--- |
--- |
Yes |
--- |
Yes |
34 |
Keep children from playing, biking, or doing other activities in areas with asbestos |
Yes |
--- |
--- |
--- |
--- |
--- |
--- |
35 |
Keep children from playing, climbing, running, digging, or doing other activities on the site |
Yes |
--- |
--- |
Yes |
Yes |
Yes |
Yes |
36 |
Keep children from riding ATVs or motorized bikes on the site |
Yes |
--- |
--- |
Yes |
Yes |
Yes |
Yes |
37 |
Keep children from swallowing pool water |
--- |
--- |
--- |
Yes |
--- |
--- |
Yes |
38 |
Keep children from thumb sucking and nail biting |
Yes |
Yes |
--- |
Yes |
Yes |
Yes |
Yes |
39 |
Keep children from walking or bicycling on the site |
--- |
--- |
--- |
Yes |
Yes |
Yes |
Yes |
40 |
Leave windows and doors open |
Yes |
--- |
Yes |
--- |
Yes |
--- |
Yes |
41 |
Leave windows and doors open on windy days |
Yes |
--- |
Yes |
--- |
--- |
--- |
Yes |
42 |
Limit children's fish consumption |
--- |
Yes |
--- |
--- |
Yes |
Yes |
--- |
43 |
Limit children’s meat consumption from the area of concern |
--- |
Yes |
--- |
--- |
--- |
--- |
--- |
44 |
Limit children’s milk consumption from the area of concern |
--- |
Yes |
--- |
--- |
--- |
--- |
--- |
45 |
Limit children’s fruit and vegetable consumption from the area of concern |
--- |
Yes |
--- |
--- |
--- |
--- |
--- |
46 |
Limit exposure to steam in your home from such things as a dishwasher, boiling water, or hot tub |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
47 |
Limit time in hot tub |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
48 |
Limit time showering and bathing |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
49 |
Limit tuna consumption |
--- |
--- |
Yes |
--- |
--- |
--- |
--- |
50 |
Minimize dust by wetting-down soils before gardening, digging, building, and doing other activities that will disturb the soil |
Yes |
--- |
--- |
--- |
--- |
--- |
--- |
51 |
Mix commercial baby formula using tap water |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
52 |
Open bathroom window when bathing or showering |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
*53 |
Operate and maintain a vapor intrusion (radon) mitigation systems in your home |
--- |
--- |
--- |
--- |
--- |
--- |
--- |
54 |
Peel root vegetables before eating |
--- |
--- |
--- |
Yes |
--- |
--- |
--- |
55 |
Periodically damp wash children's play areas |
Yes |
Yes |
--- |
Yes |
--- |
Yes |
--- |
56 |
Play on the site by climbing, running, digging or other play |
Yes |
--- |
--- |
--- |
Yes |
Yes |
Yes |
57 |
Regularly replace and maintain water filters following recommended manufacturers instructions |
--- |
--- |
--- |
Yes |
Yes |
--- |
Yes |
58 |
Remove shoes before entering home |
Yes |
--- |
Yes |
Yes |
--- |
Yes |
Yes |
59 |
Ride ATVs or motorized bikes on the site |
--- |
--- |
--- |
--- |
Yes |
Yes |
Yes |
60 |
Run air conditioner instead of opening windows and doors |
--- |
Yes |
--- |
--- |
Yes |
--- |
--- |
61 |
Run bathroom fan when bathing or showering |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
62 |
Run tap water for a few minutes before using the water for drinking, food preparation, showering, etc |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
63 |
Select fish lower in mercury |
--- |
--- |
Yes |
--- |
--- |
--- |
--- |
64 |
Shower and bathe in cooler water |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
65 |
Shower in unfiltered or untreated water |
--- |
--- |
--- |
--- |
Yes |
--- |
Yes |
*66 |
Sleep or spend more than 3 hours a day in the basement of your home |
--- |
--- |
--- |
--- |
--- |
--- |
--- |
67 |
Swim in local creeks, streams, rivers, ponds, or lakes |
--- |
--- |
--- |
--- |
Yes |
--- |
Yes |
68 |
Swim in nearby creeks, streams, or rivers |
--- |
--- |
--- |
--- |
Yes |
Yes |
Yes |
69 |
Test well water for metals |
--- |
--- |
--- |
Yes |
--- |
--- |
--- |
70 |
Use a leaf blower |
Yes |
--- |
--- |
--- |
--- |
--- |
--- |
71 |
Use a vacuum with a bag (not a bagless vacuum, shop vac, or steam cleaner) |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
72 |
Use a vacuum with a HEPA filter |
Yes |
Yes |
--- |
Yes |
Yes |
Yes |
--- |
73 |
Use a water filter on your private well |
--- |
--- |
--- |
Yes |
Yes |
--- |
Yes |
74 |
Use containers or raised beds for gardening |
--- |
Yes |
--- |
Yes |
--- |
--- |
Yes |
75 |
Use outdoor hose for watering plant, car washing, and other outdoor uses |
--- |
--- |
--- |
--- |
--- |
--- |
Yes |
76 |
Use water filter(s) |
--- |
--- |
--- |
--- |
Yes |
--- |
Yes |
77 |
Use well water in your home for bathing, brushing teeth, and other activities |
--- |
--- |
--- |
Yes |
Yes |
--- |
Yes |
78 |
Vacuum home once a week or more often |
--- |
Yes |
Yes |
Yes |
--- |
Yes |
Yes |
79 |
Vacuum home once a week or more often with a HEPA vacuum |
Yes |
--- |
--- |
--- |
--- |
--- |
--- |
80 |
Walk, jog, or bicycle on the site |
Yes |
--- |
--- |
Yes |
--- |
--- |
Yes |
81 |
Wash children’s face, hands, and other exposed skin soon after outdoor play |
Yes |
Yes |
--- |
Yes |
Yes |
Yes |
Yes |
82 |
Wash children's face and hands after playing with or petting family animals such as cats and dogs |
Yes |
--- |
--- |
--- |
Yes |
--- |
Yes |
83 |
Wash children's face and hands before they eat or drink |
Yes |
Yes |
--- |
Yes |
Yes |
Yes |
Yes |
84 |
Wash children's toys |
Yes |
Yes |
--- |
Yes |
Yes |
Yes |
Yes |
85 |
Wash dirty clothes soon after wearing outdoors |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
86 |
Wash fruits and vegetables before eating |
--- |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
87 |
Wash hands, face, and other exposed skin soon after outdoor activity such as playing, gardening, yard work, and other outdoor work |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
--- |
88 |
Wash hair after outdoor activity such as playing, gardening, yard work, and other outdoor work |
Yes |
--- |
--- |
--- |
--- |
--- |
--- |
89 |
Wash children’s hair after outdoor play |
Yes |
--- |
--- |
--- |
--- |
--- |
--- |
90 |
Wash work clothes at home |
Yes |
--- |
--- |
Yes |
--- |
--- |
Yes |
91 |
Wash work clothing separate from household clothing |
Yes |
--- |
--- |
Yes |
--- |
--- |
Yes |
92 |
Wear gloves when working in soil doing gardening, digging, building, and other activities |
--- |
--- |
Yes |
Yes |
Yes |
Yes |
--- |
93 |
Wear long sleeves and pants during outdoor activity such as playing, gardening, yard work, and other outdoor work |
--- |
Yes |
Yes |
Yes |
Yes |
--- |
Yes |
94 |
Wear work clothes home |
Yes |
--- |
--- |
Yes |
--- |
--- |
--- |
95 |
Wet mop home once a week or more often |
Yes |
Yes |
--- |
Yes |
Yes |
Yes |
Yes |
96 |
Work in soil at home through gardening, digging, building, repairing and other outside activities |
Yes |
--- |
--- |
Yes |
Yes |
Yes |
Yes |
|
Total Number |
37 |
35 |
21 |
47 |
52 |
38 |
57 |
File Type | application/msword |
File Title | Privacy Act Checklist |
Author | jbh0 |
Last Modified By | arp5 |
File Modified | 2007-04-17 |
File Created | 2007-04-02 |