MALB_2014 with 1-21 Revisions

Conducting Measurements of Radon and Radon ANSI/AARST MALB-2014 with 1/21 Revisions Decay Products in Schools and Large Buildings 40 INFORMATIVE EXHIBIT 1 SAMPLE FORM— AUTHORIZATIONS AND LINES OF COMMUNICATION Dear Client and Managing staff, Please return this form as soon as possible to help us clarify lines of communication and responsibilities. Client Authorizations Staff authorized for responding to occupant and public inquiries: Title/name: _______________________________________________________ Phn#________________ Title/name: _______________________________________________________ Phn#________________ Person(s) authorized to receive report data and any incremental reports: Title/name: _____________________________________________________ Phn#_________________ Title/name: _____________________________________________________ Phn#_________________ Frequency of reports: ( ) Prior to testing ( ) After each phase of testing ( ) When testing is complete Client or Authorized Agent Name: _____________________________________________ Signature: _____________________________________________ Date _____________ Please ensure all contacts and authorizations are provided prior to testing events. Client and Facilitating Staff Member Contact Information Client or Authorized Agent: _________________________________________ Phn#_________________ Onsite logistics supervisor: __________________________________________ Phn#_________________ Building/dwelling access: ___________________________________________ Phn#_________________ HVAC operations: _________________________________________________ Phn#_________________ Other contact title/name: _____________________________________________ Phn#_________________ Radon Testing Professional Contact Information Scheduling and logistics: ___________________________________________ Phn#_________________ Overseeing Professional: ____________________________________________ Phn#_________________ Jobsite Quality Control: _____________________________________________ Phn#_________________ Jobsite Quality Control: _____________________________________________ Phn#_________________ Field Technician: __________________________________________________ Phn#_________________ Field Technician: __________________________________________________ Phn#_________________