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Appendix D <br /> <br />https://www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • Use your preferred relay service • Available in alternative formats <br />c-rem3-01a • 1/13/21 Page 4 of 8 <br />7. Is the use of the vapor intrusion attenuation factor (33X ISV screening level) valid for this building based <br />on the above building conditions? Yes No <br />8. Grid plans <br />Use grid plans to describe floor plans, locate potential soil vapor entry points (e.g., cracks, utility ports, drains); and if <br />applicable, identify sample locations (sub-slab, indoor air, outdoor air sampling). <br />Floor plan for basement or lowest level at property address: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Scale: North (indicate direction): <br /> <br />83