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EPA Building Air Quality Guide-1991

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Indoor Air Quality Forms 195 Building: _________________________________________________________ File Number: ________________________________ Completed by: __________________________________ Title: _____________________________ Date Checked: _____________ HVAC Checklist - Long Form Appendix B discusses HVAC system components in relation to indoor air quality. Page 1 of 14 Needs Attention Not Applicable OK Component Comments Outside Air Intake Location Open during occupied hours? Unobstructed? Standing water, bird droppings in vicinity? Odors from outdoors? (describe) Carryover of exhaust heat? Cooling tower within 25 feet? Exhaust outlet within 25 feet? Trash compactor within 25 feet? Near parking facility, busy road, loading dock? Bird Screen Unobstructed? General condition? Size of mesh? ( 1 ⁄2" minimum) Outside Air Dampers Operation acceptable? Seal when closed?

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