Air Quality Testing Report

General Information

• Village

  Select Pinesong Village Crestwood Village Waitakere Gardens Powley Hillsborough Heights Forest Lake Gardens Other

  • Pinesong Village
  • Crestwood Village
  • Waitakere Gardens
  • Powley
  • Hillsborough Heights
  • Forest Lake Gardens
  • Other

• Name of Village

• Prepared by

  Peter Grantham

  Peter Gillingham

  Keith Rankine

  Keith Tickner

  Other

• Prepared by

• Person instructing Survey

  Brian Derig

  Laurie Hubbard

  Village Manager

  Other

• Advise on person instructing survey

• Conducted on

  Date

• KRT Reference

• Apartment / Villa No.

• Property type

  Villa

  Apartment

  Assisted Living

• Floor level

  Select Ground Floor First Floor Second Floor Third Floor Fourth Floor Other

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • Fourth Floor
  • Other

• Advise on location

• Property status

  Occupied

  Vacant

Air quality testing

• Machine Used

  KRT-001

  KRT-002

• Samples issued to Biodet for laboratory testing

  Date

• Results received from Biodet

  Date

• Property Safe to Occupy

  Yes

  No

  Possibly

  Results pending

• Location(s) deemed unsafe

  Select Kitchen Kitchen/Living Lounge/Living Living Hall Bedroom 1 Bedroom 2 Bedroom 3 Bathroom Garage Laundry Dining

  • Kitchen
  • Kitchen/Living
  • Lounge/Living
  • Living
  • Hall
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bathroom
  • Garage
  • Laundry
  • Dining

• undefined

• Location(s) with concerns

  Select Kitchen Kitchen/Living Lounge/Living Living Hall Bedroom 1 Bedroom 2 Bedroom 3 Bathroom Garage Laundry Dining

  • Kitchen
  • Kitchen/Living
  • Lounge/Living
  • Living
  • Hall
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bathroom
  • Garage
  • Laundry
  • Dining

• Summary of findings (refer to test results for details)

Further investigations

• Are further investigations needed ?

  Yes

  No

  Possibly

• Describe further investigation needed

• General photographs

  Media

• Buck Bioslide calibrated

  Yes

  No
Air quality testing & observations of Location

• The location where sample was taken

  Select Kitchen Kitchen/Living Lounge/Living Living Hall Bedroom 1 Bedroom 2 Bedroom 3 Bathroom Garage Laundry Dining

  • Kitchen
  • Kitchen/Living
  • Lounge/Living
  • Living
  • Hall
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bathroom
  • Garage
  • Laundry
  • Dining

• Sample number

• Sign(s) of water ingress

  Yes

  No

  Possibly

• Description of water ingress and likely cause

• Sign(s) of mould

  Yes

  No

  Possibly

• Description of mould and location

• Test results received?

  Yes

  No

• Health risk category based on Stachybotrys/Chaetomium counts

  Minimal Health Risks

  Low Health Risks

  Possible Health Risks

  High Risk Health Issues

• Health risk category based on Penicillium/Aspergillus counts

  Minimal Health Risks

  Low Health Risks

  Possible Health Risks

  High Risk Health Issues

Outdoor air sampling

• Is outdoor sample taken?

  Yes

  No

• Advise on location of test in relation to property tested, how windy.