United States
Environmental Protection
Agency
Air and
Radiation
(ANR-464)
EPA 520/1-91-008
February 1991
&EPA Radon Measurement
Proficiency (RMP)
Program
Application and
Instructions
Printed on Recycled P,iper
-------
-------
RADON MEASUREMENT PROFICIENCY (RMP) PROGRAM
APPLICATION AND INSTRUCTIONS
EPA 520/1-91-008
February 1991
Mitigation, Prevention and Quality Assurance Branch
Radon Division (ANR-464)
Office of Radiation Programs
Office of Air and Radiation
United States Environmental Protection Agency
401 M Street, S.W.
Washington, DC 20460
-------
RMP PROGRAM APPLICATION AND INSTRUCTIONS
CONTENTS
RMP Program Application
Part A: Organization Information
Part B: Measurement Devices in the AC, AT, EL, ES, LS, RP, and UT Methods
Part C: Measurement Devices in the CR, CW, GB, GC, GS, GW, PB, and SC Methods
RMP Program Application Instructions
General Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1
The Application Has Three Parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1
Confidential Business Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Participant Classifications and the Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 2
Preparing Your Initial Application. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Amending Your Initial Application. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Measurement Methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Submitting Your Application. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Is Your Application Complete? ........................................... 5
Additional Help. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Part A: Organization Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Part B: Measurement Devices in the AC, AT, EL, ES, LS, RP, and UT Methods. . . . . . . . .. 13
Part C: Measurement Devices in the CR, CW, GB, GC, GS, GW, PB, and SC Methods. . . .. 17
TABLES
Number
Page
1
RMP Program Accepted Measurement Methods: Old and New RMP Program. . . . . . . . . . 4
2
Two-Letter State and Possession (P) Abbreviations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
3
Common Participant Abbreviations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 7
Hi
EPA 520/1-91-008
-------
RMP PROGRAM APPLICATION
PART A
EPA USE ONLY
L D. Humber
(To be assigned after
appl ication is accepted;)
ORGANIZATION INFORMATION
Page 1 of 9
Complete and submit only one Part A per organization location. This information
will be used for all of your organization's participation activities in the RMP
Program. Read the RMP Program Handbook and the RMP Program ADDlication
Instructions before attempting to complete these forms. Please print or type.
D
D
This is my initial Application.
This is an amendment to my initial Application.
1
GENERAL INFORMATION
1. 1 ORGANI ZATION NAME
Please print or type the name exactly as you wish it to appear in EPA
correspondence, listings or reports. Make sure your organization's name is
spelled correctly.
Organization Name (Maximum 38 Characters)
NOTE: The total number of characters should include blank spaces. Use common abbreviations such as Co. for Company,
Inc. for Incorporated, Svcs. for Services, etc. (See Table 3 in the Instructions.)
1.2 ORGANIZATION I.D. NUMBER
D My I.D. Number is 1
D My I.D. Number has not yet been assigned.
1.3 ORGANIZATION CONTACT PERSON
This person will be the RMP Program contact for all correspondence as well
as for shipping and receiving detectors. You must contact us immediately
if your contact person changes.
First Name (Max. 12 Characters)
M.I. (1 Character)
Last Name (Max. 17 Characters)
Primary Business Telephone:
Alternate Business Telephone:
I I
(A/C)
I I
1 1 -., I 1
Telephone Nl.JIber
1 1
(A/C)
I 1---1 1 I
Telephone Nl.JIber
D Check if FAX number
EPA 520/1-91-008
-------
Part A - Organization Information
Page 2 of 9
1
GENERAL INFORMATION (continued)
1.4 MAILING ADDRESS
For official correspondence and notifications.
Street Number or PO Box
Street Name (Maximum 36 Characters Per Line)
Street Address (Continued) (Maximum 36 Characters Per Line)
City (Max. 24 Characters)
1 1
State
1 I
Zip Code
I ---I
1 1 1
suffix,
if known
Country (if other than U.S.) (Max. 25 Characters)
1.5 BUSINESS LOCATION
number.
c=J My Business Location is identical to my Mailing Address.
(Continue at 1.6, next section)
For shipping devices; cannot be a P.O. Box or Rural Route
If you did not check this
proceeding to Section 1.6.
box,
please
complete
this
section
before
Street Address or Directions to Facility (Maximum 36 Characters)
Street Address or Directions to Facility (Continued) (Maximum 36 Characters)
City (Max. 24 Characters)
1
State
1 1
Zip Code
1 ---I
I 1 I
suffix,
if known
Country (if other than U.S.) (Max. 25 Characters)
For listing in published RMP Program reports.
1.6 PUBLISHED ADDRESS
c=J My Published Address is identical to my Mailing Address.
c=J My Published Address is identical to my Business Location.
If you did not check either
proceeding to Section 1.7.
box,
please complete this
section before
Street Number or PO Box
Street Name (Maximum 36 Characters Per Line)
Street Address (Continued) (Maximum 36 Characters Per Line)
City (Max. 24 Characters)
I
State
1 1
Zip Code
1 ---I
1 1 1
suffix,
if known
Country (if other than U.S.) (Max. 25 Characters)
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 3 of 9
1
GENERAL INFORMATION (continued)
1.7 PUBLISHED TELEPHONE NUMBER(S) For listing in published RMP Program reports;
telephone number(s) for customers to use.
1 1
(AlC)
1 1--' 1 I
Telephone Number
I I
(A/C)
1 1---' 1 1
Telephone Number
o Check if FAX number
1.8 CATEGORY OF ORGANIZATION
Please check (only one) the category that best describes your organization:
0(1)
0(2)
0(3)
Commercial Measurement Service
Government Department or Agency
Other (specify):
(Maximum 30 Characters)
2
RADON MEASUREMENT SERVICE PROFILE
For the radon measurement services available to consumers from your
organization, indicate which of the following are typically included in
delivering the service (check all that apply):
0(1)
Consult (e.g., advise consumers about radon, measurement methods,
etc. ) ,
0(2)
0(3)
Deploy (e.g., place a detector or device in a consumer's home),
Retrieve
home) ,
(e.g. ,
remove a detector or device from a consumer's
0(4)
Analyze or read detectors or devices (e.g.,
measured) ,
quantify the radon
0(5)
Report results (e.g.,
measured radon value),
provide consumers a written copy of the
0(6)
Other (descr ibe)
(Maximum 30 Characters)
NOTE: If you checked item (4), your organization has a primary radon measurement capability. Therefore, a Part B or
C Application form should be completed, as appropriate.
RMP Program Application
EPA 520/1-91-008
-------
Part A - organization Information
Page 4 of 9
3
CONSUMER IlARKETING INFORMATION
For radon measurement services offered by your organization at this
location, select the most accurate of the following three statements (check
only one of 3.1, 3.2 or 3.3):
3.1 0
Our radon measurement service is available to consumers at this time.
Consumers can obtain this service directly (check any that apply) by:
o
Phone (advertised or published number),
o
Mail (advertised or published address),
D
Direct Mail Response (return post card or reader service card),
D
Facsimile (FAX) (advertised or published number),
or, consumers can obtain this measurement service indirectly:
D
"Off-the-shelf" (retail
department store),
outlet,
e.g. ,
grocer,
hardware
or
D
Through another organization
serv ice prov ider , e. g., home
contractor) .
(a secondary radon measurement
inspector or radon mitigation
o
Other
(specify)
(Maximum 30 Characters)
3.2 D
Our radon measurement service will be available to consumers in the
future; explain:
3.3 D
Our radon measurement service is not available to consumers.
why:
Describe
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 5 of 9
4
SECONDARY MEASUREMENT SERVICE INFORMATION
This is the only place in the Application where an applicant may
include the information needed to apply to the RMP Program with
secondary measurement services.
4.1 SECONDARY METHOD INFORMATION
If your organization offers secondary services, please check all of
the following methods for which your organization is to be listed:
c=J AC - Activated Charcoal Adsorption
c=J AT - Alpha Track Detection
c=J EL - Electret Ion Chamber - Long Term
c=J ES - Electret Ion Chamber - Short Term
c=J LS - Charcoal Liquid Scintillation
c=J RP - RPISU - Radon Progeny Integrating Sampling Unit
c=J UT - Unfiltered Alpha Track Detection
4.2 MARKETING OF SECONDARY SERVICE(S)
If you answered Section 4.1, circle all the states and/or U.S.
possessions in which your organization offers secondary services
within the methods you designated. The category "All States"
applies onlv to the 50 states plus the District of Columbia. U.S.
possessions and territories are not included and should be treated
separately. If you circle "ALL States" and circle any other states,
you will be listed under "ALL States" only. (A list of the states
and their abbreviations is included with the instructions.)
ALL AK AL AR AZ CA CO CT DC DE FL GA HI
States
IA ID IL IN KS KY LA MA MD ME MI MN
MO MS MT NC ND NE NH NJ NM NV NY OH
OK OR PA RI SC SD TN TX UT VA VT WA
WI WV WY
ALL
Pass. Possessions: AS FM GU MH MP PR PW VI
4.3 LISTING IN PUBLISHED REPORTS
c=J List my organization in EPA published reports for the methods
checked in Section 4.1.
c=J Do not list my organization in EPA published reports for the
methods checked in Section 4.1.
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 7 of 9
SUPPLEMENTARY INFORMATION
The information requested in Sections 5 and 6 of the Application is
optional. The Agency does not intend to entitle information collected in these
sections to confidential treatment. Please do not include information that you
deem to be confidential. Your Application will not be adversely affected if you
leave these sections blank or provide partial information.
The EPA encourages applicants to provide the information asked for in these
sections. Although the information provided by applicants is in the public
domain, the Agency intends to aggregage and present the information in a generic
form. The Agency will use the information to determine the level of radon
testing activity by consumers, and to assess the economic health of the radon
industry. The information will be important to the Agency in planning and
implementing improvements in the radon proficiency programs. These improvements
will allow EPA to serve consumers and the radon community more effectively.
If you are unable to provide precise information, please make an estimate
of the information requested. If you have any questions on how to complete this
information, call the RIS at (919)541-7131.
5
ORGANIZATION EMPLOYMENT INFORMATION
For your organization, at this location, please indicate the:
Total number of persons employed, and
Number of employees engaged in radon measurement
activities or services.
6
RADON MEASUREMENT SERVICE INFORMATION
6.1 For your organization, at this location, please indicate the number of
individual radon measurements performed in the following calendar years
(January-December):
I 1990
I 1989
NOTE:
EPA defines performed as deployed, retrieved, or analyzed/read {see Section 2, (2), (3) and (4).}
6.2 For your organization, at this location, please indicate the number of
individual radon measurements that were analvzed or read by your
organization (primary) in the following calendar years (January-December):
I 1990
I 1989
NOTE: Only provide the information above if your organization is capable of analyzing or reading radon detectors or
devices; ifnot, go on to the next (6.3) question {see Section 2, (4).}
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 8 of 9
SUPPLEMENTARY INFORMATION
6
RADON MEASUREMENT SERVICE INFORMATION (continued)
6.3 For your organization, at this location, of the radon measurements listed
in 6.1, how many were placed or retrieved (secondary) but not analyzed or
read by you in the following calendar years (January-December):
I 1990
I 1989
~: See Section 2, (2) and (3).
6.4 For your organization, at this location, please indicate how many of the
measurements shown in Section 6.1, performed in the following calendar years
(January-December), were related to a (residential) real estate transaction:
I 1990
I 1989
6.5 Of the radon measurements performed in 1990 (Section 6.1), please indicate
how many were made in:
I Residences (home, apartment, etc.)
I Schools (individual building)
I Workplaces (office, factory, etc.)
I Other (specify)
(Maximum 30 Characters)
6.6 Of the radon measurements performed in 1989 (Section 6.1), please indicate
how many were made in:
I Residences (home, apartment, etc.)
I Schools (individual building)
I Workplaces (office, factory, etc.)
IOther(specify)
(Maximum 30 Characters)
This is the end of the supplementary portion of the ApplicQtion. You must continue and complete Sections 7 and 8.
RHP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 9 of 9
7
QUALITY ASSURANCE PLANlS)
o
There is a Quality Assurance Plan (QAP) in place and in effect for all
radon measurement devices (primary) and/or methods (secondary)
identified in this Application.
8
SIGNATURE
I am authorized to commit this organization to participation in the RMP
Program and have read the Handbook and agree to meet all applicable Program
requirements. (Please print or type.)
First Name (Max. 12 Characters)
M.I. (1 Character)
Last Name (Max. 17 Characters)
Position (Maximum 12 Characters)
Signature (Required)
Date
RMP Program Application
EPA 520/1-91-008
-------
RMP PROGRAM APPLICATION
PART A
EPA USE ONLY
I. D . Number
(To be assigned after
appTication is accepted.}
ORGANIZATION INFORMATION
Page 1 of 9
Complete and submit only ~ Part A per organization location. This information
will be used for all of your organization's participation activities in the RHP
Program. Read the RHP Program Handbook and the RHP Program Application
Instructions before attempting to complete these forms. Please print or type.
D
D
This is my initial Application.
This is an amendment to my initial Application.
1
GENERAL INFORMATION
1.1 ORGANIZATION NAME
Please print or type the name exactly as you wish it to appear in EPA
correspondence, listings or reports. Make ~ your organization's name is
spelled correctly.
Organization Name (Maximum 38 Characters)
NOTE: The total number of characters should include blank spaces. Use common abbreviations such as Co. for Company,
Inc. for Incorporated, Svcs. for Services, etc. (See Table 3 in the Instructions.)
1.2 ORGANIZATION I.D. NUMBER
D My I.D. Number is I
D My I.D. Number has not yet been assigned.
1.3 ORGANIZATION CONTACT PERSON
This person will be the RMP Program contact for all correspondence as well
as for shipping and receiving detectors. You must contact us immediately
if your contact person changes.
First Name (Max. 12 Characters)
M.I. (1 Character)
Last Name (Max. 17 Characters)
Primary Business Telephone:
Alternate Business Telephone:
1 1
(A/C)
1 1 --, 1 1
Telephone Number
1 1
(A/C)
1 1---1 1 1
Telephone Number
D Check if FAX number
EPA 520/1-91-008
-------
Part A - Organization Information
Page 2 of 9.
1
GENERAL INFORMATION (continued)
1.4 MAILING ADDRESS
For official correspondence and notifications.
Street Number or PO Box
Street Name (Maximum 36 Characters Per Line)
Street Address (Continued) (Maximum 36 Characters Per Line)
City (Max. 24 Characters)
, ,
State
I I
Zip Code
1_00,
, , I
suffix,
if known
Country (if other than U.S.) (Max. 25 Characters)
1.5 BUSINESS LOCATION For shipping devices; cannot be a P.O. Box or Rural Route
number.
c=J My Business Location is identical to my Mailing Address.
(Continue at 1.6, next section)
If you did not check this
proceeding to Section 1.6.
box,
please
complete
this
section
before
Street Address or Directions to Facility (Maximum 36 Characters)
Street Address or Directions to Facility (Continued) (Maximum 36 Characters)
City (Max. 24 Characters)
I
State
, I
Zip Code
1---'
I I ,
suffix,
i f known
Country (if other than U.S.) (Max. 25 Characters)
1.6 PUBLISHED ADDRESS
For listing in published RMP Program reports.
c=J My Published Address is identical to my Mailing Address.
c=J My Published Address is identical to my Business Location.
If you did not check either
proceeding to Section 1.7.
box,
please complete this
section before
Street Number or PO Box
Street Name (Maximum 36 Characters Per Line)
Street Address (Continued) (Maximum 36 Characters Per Line)
City (Max. 24 Characters)
,
State
I ,
Zip Code
, ---I
I I I
suffix,
if known
Country (ff other than U.S.) (Max. 25 Characters)
RMP Program Application
EPA 520/1-91-008
-------
1
Part A - Organization Information
Page 3 of 9
GENERAL INFORMATION (continued)
1. 7 PUBLISHED TELEPHONE NUMBER(S) For listing in published RMP Program reports;
telephone number(s) for customers to use.
, I
(A/C)
I I
, , u, I I
Telephone Nl.ITIber
, ,---, , I
Telephone Nl.ITIber
I I
(A/C)
I I
o Check if FAX number
1.8 CATEGORY OF ORGANIZATION
Please check (only one) the category that best describes your organization:
0(1)
0(2)
0(3)
Commercial Measurement Service
Government Department or Agency
Other (specify):
2
(Maximum 30 Characters)
RADON MEASUREMENT SERVICE PROFILE
For the radon measurement services available to consumers from your
organization, indicate which of the following are typically included in
delivering the service (check all that apply):
0(1)
0(2)
0(3)
0(4)
0(5)
0(6)
Consult (e.g., advise consumers about radon, measurement methods,
etc. ) ,
Deploy (e.g., place a detector or device in a consumer's home),
Retrieve
home) ,
(e.g. ,
remove a detector or device from a consumer's
Analyze or read detectors or devices (e.g., quantify the radon
measured) ,
Report results (e.g.,
measured radon value),
provide consumers a written copy of the
Other (describe)
(Maximum 30 Characters)
NOTE: If you checked item (4), your organization has a primary radon measurement capability. Therefore, a Part B or
C Application form should be completed, as appropriate.
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 4 of 9
3
CONSUMER MARKETING INFORMATION
For radon measurement services offered by your organization at this
location, select the most accurate of the following three statements (check
only one of 3.1, 3.2 or 3.3):
3.1 D
Our radon measurement service is available to consumers at this time.
Consumers can obtain this service directlv (check any that apply) by:
D
Phone (advertised or published number),
D
Mail (advertised or published address),
D
Direct Mail Response (return post card or reader service card),
D
Facsimile (FAX) (advertised or published number),
or, consumers can obtain this measurement service indirectly:
D
"Off-the-shelf" (retail
department store),
outlet,
e.g. ,
grocer,
hardware
or
D
Through another organization
serv ice provider, e. g., home
contractor).
(a secondary radon measurement
inspector or radon mitigation
D
Other
( spec ify)
(Maximum 30 Characters)
3.2 D
Our radon measurement service will be available to consumers in the
future; explain:
3.3 D
Our radon measurement service is not available to consumers.
why:
Describe
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 5 of 9
4
SECONDARY MEASUREMENT SERVICE INFORMATION
This is the only place in the Application where an applicant may
include the information needed to apply to the RMP Program with
secondary measurement services.
4.1 SECONDARY METHOD INFORMATION
If your organization offers secondary services, please check all of
the following methods for which your organization is to be listed:
c=J AC - Activated Charcoal Adsorption
c=J AT - Alpha Track Detection
c=J EL - Electret Ion Chamber - Long Term
c=J ES - Electret Ion Chamber - Short Term
c=J LS - Charcoal Liquid Scintillation
c=J RP - RPISU - Radon Progeny Integrating Sampling Unit
c=J UT - Unfiltered Alpha Track Detection
4.2 MARKETING OF SECONDARY SERVICE(S)
If you answered Section 4.1, circle all the states and/or U.S.
possessions in which your organization offers secondary services
within the methods you designated. The category "All States"
applies only to the 50 states plus the District of Columbia. U.S.
possessions and territories are not included and should be treated
separately. If you circle "ALL States" and circle any other states,
you will be listed under "ALL States" only. (A list of the states
and their abbreviations is included with the instructions.)
ALL AK AL AR AZ CA CO CT OC DE FL GA HI
States
IA 10 IL IN KS KY LA MA MO ME MI MN
MO MS MT NC NO NE NH NJ NM NV NY OH
OK OR PA RI SC SO TN TX UT VA VT WA
WI WV WY
ALL
Pass. Possessions: AS FM GU MH MP PR PW VI
4.3 LISTING IN PUBLISHED REPORTS
c=J List my organization in EPA published reports for the methods
checked in Section 4.1.
c=J Do not list my organization in EPA published reports for the
methods checked in Section 4.1.
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 7 of 9
SUPPLEMENTARY INFORMATION
The information requested in sections 5 and 6 of the Application is
optional. The Agency does not intend to entitle information collected in these
sections to confidential treatment. Please do not include information that you
deem to be confidential. Your Application will not be adversely affected if you
leave these sections blank or provide partial information.
The EPA encourages applicants to provide the information asked for in these
sections. Although the information provided by applicants is in the public
domain, the Agency intends to aggregage and present the information in a generic
form. The Agency will use the information to determine the level of radon
testing activity by consumers, and to assess the economic health of the radon
industry. The information will be important to the Agency in planning and
implementing improvements in the radon proficiency programs. These improvements
will allow EPA to serve consumers and the radon community more effectively.
If you are unable to provide precise information, please make an estimate
of the information requested. If you have any questions on how to complete this
information, call the RIS at (919)541-7131.
5
ORGANIZATION EMPLOYMENT INFORMATION
For your organization, at this location, please indicate the:
Total number of persons employed, and
Number of employees engaged in radon measurement
activities or services.
6
RADON MEASUREMENT SERVICE INFORMATION
6.1 For your organization, at this location, please indicate the number of
individual radon measurements performed in the following calendar years
(January-December):
I 1990
I 1989
NOTE:
EPA defines perfonned as deployed, retrieved, or analyzed/read {see Section 2, (2), (3) and (4).}
6.2 For your organization, at this location, please indicate the number of
individual radon measurements that were analvzed or read by your
organization (primary) in the following calendar years (January-December):
I 1990
I 1989
NOTE: Only provide the infonnation above if your organization is capable of analyzing or reading radon detectors or
devices; ifrwt, go on to the next (6.3) question {see Section 2, (4).}
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 8 of 9
SUPPLEMENTARY INFORMATION
6
RADON MEASUREMENT SERVICE INFORMATION (continued)
6.3 For your organization, at this location, of the radon measurements listed
in 6.1, how many were placed or retrieved (secondary) but not analyzed or
read by you in the following calendar years (January-December):
I 1990
I 1989
1:iQI£: See Section 2, (2) and (3).
6.4 For your organization, at this location, please indicate how many of the
measurements shown in Section 6.1, performed in the following calendar years
(January-December), were related to a (residential) real estate transaction:
I 1990
I 1989
6.5 Of the radon measurements performed in 1990 (Section 6.1), please indicate
how many were made in:
I Residences (home, apartment, etc.)
I Schools (individual building)
I Workplaces (office, factory, etc.)
lather (specify)
(Maximum 30 Characters)
6.6 Of the radon measurements performed in 1989 (Section 6.1), please indicate
how many were made in:
I Residences (home, apartment, etc.)
I Schools (individual building)
I Workplaces (office, factory, etc.)
lother(specify)
(Maximum 30 Characters)
This is the end of the supplementary ponion of the Application. You must continue and complete Sections 7 and 8.
RMP Program Application
EPA 520/1-91-008
-------
Part A - Organization Information
Page 9 of 9
7
QUALITY ASSURANCE PLANlS)
D
There is a Quality Assurance Plan (QAP) in place and in effect for all
radon measurement devices (primary) and/or methods (secondary)
identified in this Application.
8
SIGNATURE
I am authorized to commit this organization to participation in the RMP
Program and have read the Handbook and agree to meet all applicable Program
requirements. (Please print or type.)
First Name (Max. 12 Characters)
M.I. (1 Character)
Last Name (Max. 17 Characters)
Position (Maximum 12 Characters)
Signature (Required)
Date
RMP Program Application
EPA 520/1-91-008
-------
RMP PROGRAM APPLICATION
PART B
FOR DEVICES IN THE AC, AT,
EL, ES, LS, RP & UT METHODS
EPA USE ONLY
Method/Device Number
(To be assigned after
application is accepted.)
Page 1 of 4
Complete a separate Part B for each brand/model/tVDe of detector for which you
want to be listed. If you have already submitted Part A it is not necessary to
complete another Part Ai you may submit this Part B separately.
D
D
This is my initial Application.
This is an amendment to my initial Application.
1
ORGANIZATION INFORMATION
1.1
ORGANIZATION NAME
(Please complete exactly as on RMP Program Application Part A)
Organization Name (Maximum 38 Characters)
1.2
ORGANIZATION I.D. NUMBER
D
D
My Organization I.D. Number is:
My Organization I.D. Number has not been assigned at this time.
2
DEVICE INFORMATION
2.1
Measurement Method (List the two-letter method abbreviation.)
I I I I
Device Code
Enter the "RMP Device Code" from Checklist No.1 of the
Application Device Checklists.
2.2
Enter the "RMP Device Code" from either Checklist No.2 or Checklist No.
3 of the Application Device Checklists in completing this section.
Reading/Analysis Package System (Checklist No.2)
or Reading/Analysis Component System (Checklist No.3):
I I
Note:
I I I I I I I I I I I I I
If more than 4 components, list the most critical components.
EPA 520/1-91-008
-------
Part B - AC, AT, EL, ES, LS, RP, UT Methods
2
2.3
2.4
2.5
2.6
2.7
3
Page 2 of 4
DEVICE INFORMATION (continued)
If any of the preceding entries in Section 2 came from the "Other" category
on the Application Device Checklists, please submit a complete description
with this Application. Please consult the RMP Program Handbook for an
explanation.
o Description attached.
Enter the exposure time range you recommend to consumers in the boxes
below:
from I
I days, to I
I days
mininun
maxinun
Enter the maximum length of elapsed time between the end of the detector
exposure and the analysis that you allow when processing measurements for
a consumer:
I days
o I have enclosed a sample of my AC, AT, LS, or UT Device.
include a sample of the device with your Application.)
(You MUST
c=J I have enclosed a picture of my EL, ES or RP Device.
include a picture of the device with your Application -
literature pictures are acceptable.)
(You MUST
manufacturer's
MARKETING INFORMATION
3.1 0(1) Consumers can purchase this device from us at this time.
0(2) Consumers may purchase this device from us in the future.
c=J (3) This device is not available for consumer purchase. (Go to Sec. 5.)
3.2
Consumers can obtain this device directly through:
0(1)
0(2)
0(3)
retail purchase
telephone order or FAX
mail order
or, indirectly through:
0(4) other measurement organizations
0(5) other (specify)
(Maxinun 30 Characters)
RMP Program Application
EPA 520/1-91-008
-------
Part B - AC, AT, EL, ES, LS, RP, UT Methods
Page 3 of 4
4
5
6
6.1
6.2
6.3
6.4
MARKETING OF SERVICE(S)
For the device listed in Section 2.1, circle all the states and/or u.s.
possessions in which your organization offers this service. The category
"All States" applies onlv to the 50 states plus the District of Columbia;
u.S. possessions and territories are not included and should be treated
separately. If you circle "ALL States" and circle any other states, you
will be listed under "ALL States" only. (A list of the states and their
abbreviations is included with the instructions.)
ALL
States
AK AL AR AZ CA CO CT DC DE FL GA HI IA
ID IL IN KS KY LA MA MD ME MI MN MO MS
MT NC ND NE NH NJ NM NV NY OH OK OR PA
RI SC SD TN TX UT VA VT WA WI WV WY
Possessions: AS FM GU MH MP PR PW VI
ALL
Poss.
LISTING IN PUBLISHED REPORTS
c=J Do list my organization in EPA published reports with this device.
c=J Do not list my organization in EPA published reports with this device.
RMP PROGRAM PARTICIPATION
NOTE: It is extremely important that you complete this section accurately.
Please check all that apply:
c=J
I have never participated in the RMP Program with this device.
to Section 7.)
(Go
c=J
I have participated in the RMP Program since the end of Round 6
(January 1990) with this device. My Organization I.D.-Method-
Device Code is:
I I I I
Organization
I.D. Nl.fI1ber
I I I
Measurement
Method
Abbreviation
I I
Device
Code
c=J
I did participate in RMP Program Round 6 with this device; my
five-letter code was:
c=J
I did participate in RMP Program Round 5 with this device; my
four-letter code was:
RMP Program Application
EPA 520/1-91-008
-------
Part B - AC, AT, EL, ES, LS, RP, UT Methods
Page 4 of 4
7
SIGNATURE OF ORGANIZATION CONTACT PERSON
(Please print or type)
First Name (Max. 12 Characters)
M.I. (1 Character)
Last Name (Max. 17 Characters)
Position (Maximum 12 Characters)
Signature (Required)
Date
RMP Program Application
EPA 520/1-91-008
-------
RMP PROGRAM APPLICATION
PART B
FOR DEVICES IN THE AC, AT,
EL, ES, LS, RP & UT METHODS
EPA USE OHl Y
Method/Oevice Humber
(To be assigned after
application is accepted.)
Page 1 of 4
Complete a separate Part B for each brand/model/type of detector for which you
want to be listed. If you have already submitted Part A it is not necessary to
complete another Part A; you may submit this Part B separately.
D
D
This is my initial Application.
This is an amendment to my initial Application.
1
ORGANIZATION INFORMATION
1.1
ORGANIZATION NAME
(Please complete exactly as on RMP Program Application Part A)
Organization Name (Maximum 38 Characters)
1.2
ORGANIZATION I.D. NUMBER
D
D
My Organization I.D. Number is:
My Organization I.D. Number has not been assigned at this time.
2
DEVICE INFORMATION
2.1
Measurement Method (List the two-letter method abbreviation.)
I I I I
Device Code
Enter the "RMP Device Code" from Checklist No.1 of the
Application Device Checklists.
2.2
Enter the "RMP Device Code" from either Checklist No.2 or Checklist No.
3 of the Application Device Checklists in completing this section.
Reading/Analysis Package System (Checklist NO.2)
or Reading/Analysis Component System (Checklist No.3):
I I
Note:
I I I I I I I I I I I I I I
If more than 4 components, list the most critical components.
EPA 520/1-91-008
-------
Part B - AC, AT, EL, ES, LS, RP, UT Methods
Page 2 of 4
2
2.3
2.4
2.5
2.6
DEVICE INFORMATION (continued)
If any of the preceding entries in Section 2 came from the "Other" category
on the Application Device Checklists, please submit a complete description
with this Application. Please consult the RMP Program Handbook for an
explanation.
o Description attached.
Enter the exposure time range you recommend to consumers in the boxes
below:
from I
I days, to I
I days
mininun
maxinun
Enter the maximum length of elapsed time between the end of the detector
exposure and the analysis that you allow when processing measurements for
a consumer:
I days
o I have enclosed a sample of my AC, AT, LS, or UT Device.
include a sample of the device with your Application.)
(You MUST
2.7
o I have enclosed a picture of my EL, ES or RP Device. (You MUST
include a picture of the device with your Application - manufacturer 's
literature pictures are acceptable.)
3
MARKETING INFORMATION
3.1
0(1)
0(2)
0(3)
This device is not available for consumer purchase. (Go to Sec. 5.)
Consumers can purchase this device from us at this time.
Consumers may purchase this device from us in the future.
3.2
Consumers can obtain this device directly through:
0(1)
0(2)
0(3)
retail purchase
telephone order or FAX
mail order
or, indirectly through:
0(4) other measurement organizations
0(5) other (specify)
(Maxinun 30 Characters)
RMP Program Application
EPA 520/1-91-008
-------
Part B - AC, AT, EL, ES, LS, RP, UT Methods
Page 3 of 4
4
5
6
6.1
6.2
6.3
6.4
MARKETING OF SERVICECS)
For the device listed in Section 2.1, circle all the states and/or u.S.
possessions in which your organization offers this service. The category
"All States" applies only to the 50 states plus the District of Columbia;
u.S. possessions and territories are not included and should be treated
separately. If you circle "ALL States" and circle any other states, you
will be listed under "ALL States" only. (A list of the states and their
abbreviations is included with the instructions.)
ALL
States
AK AL AR AZ CA CO CT DC DE FL GA HI IA
ID IL IN KS KY LA MA MD ME MI MN MO MS
MT NC ND NE NH NJ NM NV NY OH OK OR PA
RI SC SD TN TX UT VA VT WA WI WV WY
Possessions: AS FM GU MH MP PR PW VI
ALL
Poss.
LISTING IN PUBLISHED REPORTS
c=J Do list my organization in EPA published reports with this device.
c=J Do not list my organization in EPA published reports with this device.
RMP PROGRAM PARTICIPATION
NOTE: It is extremely important that you complete this section accurately.
Please check all that apply:
c=J
I have never participated in the RMP Program with this device.
to Section 7.)
(Go
c=J
I have participated in the RMP Program since the end of Round 6
(January 1990) with this device. My Organization I.D.-Method-
Device Code is:
I I I I
Organization
I.D. Nunber
I I I
Measurement
Method
Abbreviation
I I
Device
Code
c=J
I did participate in RMP Program Round 6 with this device; my
five-letter code was:
c=J
I did participate in RMP Program Round 5 with this device; my
four-letter code was:
RMP Program Application
EPA 520/1-91-008
-------
Part B - AC, AT, EL, ES, LS, RP, UT Methods
Page 4 of 4
7
SIGNATURE OF ORGANIZATION CONTACT PERSON
(Please print or type)
First Name (Max. 12 Characters)
M.I. (1 Character)
Last Name (Max. 17 Characters)
Position (Maximum 12 Characters)
Signature (Required)
Date
RMP Program Application
EPA 520/1-91-008
-------
RMP PROGRAM APPLICATION
PART C
FOR DEVICES IN THE CR, CW, GB,
GC, GS, GW, PB & SC METHODS
EPA USE ONLY
Method/Device Number
(To be assigned after
application is accepted.)
Page 1 of 4
Complete a separate Part C for each of the above devices. If you have already
submitted Part A it is not necessary to complete another Part Ai you may submit
this Part C separately.
D
D
This is my initial Application.
This is an amendment to my initial Application.
1
ORGANIZATION INFORMATION
1.1
ORGANIZATION NAME
(Please complete exactly as on RMP Program Application Part A)
Organization Name (Maximum 38 Characters)
1.2
ORGANIZATION I.D. HUMBER
D My Organization J.D. Number is:
D My Organization I.D. Number has not been assigned at this time.
2
DEVICE INFORMATION
2.1
Measurement Method (List the two-letter method abbreviation.)
2.2
Enter the "RMP Device Code(s)" from the Application Device Checklists and
list the device code(s) for the equipment that will be brought to the test
site or used for analysis:
Self-contained Reading/Analysis Systems (Checklist No.4):
or Reading/Analysis System Components (Checklist No.3):
I I
Note:
I I I I I I I I I I I I I I I I I I
If more than 4 components, list the most critical components.
RMP Program Application
EPA 520/1-91-008
-------
Part C - CR, OW, GB, GC, GS, GW, PB, SC Methods
Page 2 of 4
2
2.3
2.4
2.5
2.6
DEVICE IHFORMATION (continued)
Scintillation Cells (GS method only) (Checklist No.3):
Volume in mL of Scintillation Cells:
'mL
If any entry in the preceding section 2.2 and 2.3 came from the "Other"
category on the Application Device Checklists, please submit a complete
description with this Application. Please consult the RMP Program Handbook
for an explanation of the requirements.
c=J Description attached.
List the Air Pump Flow Rate to the nearest tenth of a liter (in liters per
minute) :
'. L-.J (Only for CR, CW, and GW methods.)
For the GB, GC, GS or GW methods only, enter the time required to take a
sample (not time required to complete measurement):
I Minutes
2.7
Enter the name of the operator you plan to send for RMP Program testing
(please print or type):
First Name (Max. 12 Char's.)
M. I. (1 Char.)
Last Name (Max. 17 Char's.)
Position (Maximum 12 Characters)
2.8
c=J
I have enclosed a picture of my system, including all parts or
components. (You MUST include this picture(s) with your
Application. Manufacturer' s literature pictures are acceptable.
If the system has several components, you may submit separate
pictures for each component.)
3
RADON MEASUREMENT TEST SITE
For walk-in tests, where would you prefer to test? Please check only one
box. Indicating a preference for a specific facility may cause a delay in
scheduling your test.
c=J(1) Las Vegas, Nevada; give me the earliest possible test date.
c=J(2) Montgomery, Alabama; give me the earliest possible test date.
[:](3) No preference; give me the earliest possible test date.
RMP Program Application
EPA 520/1-91-008
-------
Part C - CR, CW, GS, GC, GS, GW, PS, SC Methods
Page 3 of 4
4
4.1
4.2
5
6
6.1
6.2
MARKETING INFORMATION
o
o
o
We do offer a measurement service to consumers at this time with
this device.
We will be offering a measurement service to consumers in the future
with this device.
We do not offer a measurement service to consumers with this device.
(Go to Section 5.)
For the device listed in Section 2, circle all the states and/or u.S.
possessions in which your organization offers this service. The category
"All States" applies only to the 50 states and the District of Columbia;
u.S. possessions and territories are not included and should be treated
separately. If you circle "ALL States" and circle any other states, you
will be listed under "ALL States" only. (A list of the states and their
abbreviations is included with the instructions.)
ALL
States
ALL
Poss.
AK AL AR AZ CA CO CT DC DE FL GA HI IA
ID IL IN KS KY LA MA MD ME MI MN MO MS
MT NC ND NE NH NJ NM NV NY OH OK OR PA
RI SC SD TN TX UT VA VT WA WI WV WY
Possessions: AS FM GU MH MP PR PW VI
LISTING IN PUBLISHED REPORTS
D
o
Do list my organization in EPA published reports with this device.
Do not list my organization in EPA published reports with this
device.
RMP PROGRAM PARTICIPATION
Note: it is extremely important that you complete this section accurately.
o
Please check all that apply:
(Go
o
I have never participated in the RMP Program with this device.
to Section 7.)
Yes, I have participated in the RMP Program since the end of Round
6 (January 1990) with this device. My Organization I.D.-Method-
Device Code is:
I I I I
Organization
I. D. Nunber
I I I
Measurement
Method
Abbreviation
I I
Devi ce
Code
RMP Program Application
EPA 520/1-91-008
-------
Part C - CR, CW, GB, GC, GS, GW, PB, SC Methods
Page 4 of 4
6
RMP PROGRAM PARTICIPATION (continued)
6.3
D
Yes, I did participate in RMP Program Round 6 with this device; my
five-letter code was:
6.4
D
Yes, I did participate in RMP Program Round 5 with this device; my
four-letter code was:
7
SIGNATURE OF ORGANIZATION CONTACT PERSON
(please print or type)
First Name (Max. 12 Characters)
M.I. (1 Character)
Last Name (Max. 17 Characters)
Position (Maximum 12 Characters)
Signature (Required)
Date
RMP Program Application
EPA 520/1-91-008
-------
RMP PROGRAM APPLICATION
PART C
FOR DEVICES IN THE CR, CW, GB,
GC, GS, GW, PB & SC METHODS
EPA USEDNLY
Method/Device Number
(T(]b~ assigned after
application is accepted.)
Page 1 of 4
Complete a separate Part C for each of the above devices. If you have already
submitted Part A it is not necessary to complete another Part Ai you may submit
this Part C separately.
o
o
This is my initial Application.
This is an amendment to my initial Application.
1
ORGANIZATION INFORMATION
1.1
ORGANIZATION NAME
(Please complete exactly as on RMP Program Application Part A)
Organization Name (Maximum 38 Characters)
1.2
ORGANIZATION I.D. NUMBER
o My Organization I.D. Number is:
o My Organization 1.0. Number has not been assigned at this time.
2
DEVICE INFORMATION
2.1
Measurement Method (List the two-letter method abbreviation.)
2.2
Enter the "RMP Device Code(s)" from the Application Device Checklists and
list the device code(s) for the equipment that will be brought to the test
site or used for analysis:
Self-contained Reading/Analysis Systems (Checklist NO.4):
or Reading/Analysis System Components (Checklist No.3):
I I
Note:
I I I I I I I I I I I I I I I I I
If more than 4 components, list the most critical components.
RMP Program Application
EPA 520/1-91-008
-------
Part C - CR, CW, GB, GC, GS, GW, PB, SC Methods
Page 2 of 4
2
2.3
2.4
2.5
2.6
2.7
2.8
3
DEVICE INFORMATION (continued)
Scintillation Cells (GS method only) (Checklist No.3):
Volume in mL of Scintillation Cells:
ImL
If any entry in the preceding Section 2.2 and 2.3 came from the "Other"
category on the Application Device Checklists, please submit a complete
description with this Application. Please consult the RMP Program Handbook
for an explanation of the requirements.
o Description attached.
List the Air Pump Flow Rate to the nearest tenth of a liter (in liters per
minute) :
I. L-J (Only for CR, cw, and GW methods.)
For the GB, GC, GS or GW methods only, enter the time required to take a
sample (not time required to complete measurement):
I Minutes
Enter the name of the operator you plan to send for RMP Program testing
(please print or type):
First Name (Max. 12 Char's.)
M. I. (1 Cha r . )
Last Name (Max. 17 Char's.)
Position (Maximum 12 Characters)
o
I have enclosed a picture of my system, including all parts or
components. (You MUST include this picture(s) with your
Application. Manufacturer's literature pictures are acceptable.
If the system has several components, you may submit separate
pictures for each component.)
RADON MEASUREMENT TEST SITE
For walk-in tests, where would you prefer to test? Please check only one
box. Indicating a preference for a specific facility may cause a delay in
scheduling your test.
0(1) Las Vegas, Nevada; give me the earliest possible test date.
0(2) Montgomery, Alabama; give me the earliest possible test date.
0(3) No preference; give me the earliest possible test date.
RMP Program Application
EPA 520/1-91-008
-------
Part C - CR, CW, GB, GC, GS, GW, PB, SC Methods
Page 3 of 4
4
4.1
4.2
5
6
6.1
6.2
MARKETING INFORMATION
D
D
D
We do offer a measurement service to consumers at this time with
this device.
We will be offering a measurement service to consumers in the future
with this device.
We do not offer a measurement service to consumers with this device.
(Go to Section 5.)
For the device listed in Section 2, circle all the states and/or U.S.
possessions in which your organization offers this service. The category
"All States" applies onlv to the 50 states and the District of Columbia;
u.S. possessions and territories are not included and should be treated
separately. If you circle "ALL States" and circle any other states, you
will be listed under "ALL States" only. (A list of the states and their
abbreviations is included with the instructions.)
ALL
States
ALL
Poss.
AK AL AR AZ CA CO CT DC DE FL GA HI IA
ID IL IN KS KY LA MA MD ME MI MN MO MS
MT NC ND NE NH NJ NM NV NY OH OK OR PA
RI SC SD TN TX UT VA VT WA WI WV WY
Possessions: AS FM GU MH MP PR PW VI
LISTING IN PUBLISHED REPORTS
D
D
Do list my organization in EPA published reports with this device.
Do not list my organization in EPA published reports with this
device.
RMP PROGRAM PARTICIPATION
Note: it is extremely important that you complete this section accurately.
D
Please check all that apply:
(Go
D
I have never participated in the RMP Program with this device.
to Section 7.)
Yes, I have participated in the RMP Program since the end of Round
6 (January 1990) with this device. My Organization I.D.-Method-
Device Code is:
I I I I
Organizat i on
I.D. Nl.ITIber
I I I
Measurement
Method
Abbreviation
I I
Device
Code
RMP Program Application
EPA 520/1-91-008
-------
Part C - CR, CW, GB, GC, GS, GW, PB, SC Methods
Page 4 of 4
6
RMP PROGRAM PARTICIPATION (continued)
6.3
D
Yes, I did participate in RMP Program Round 6 with this device; my
five-letter code was:
6.4
D
Yes, I did participate in RMP Program Round 5 with this device; my
four-letter code was:
7
SIGNATURE OF ORGANIZATION CONTACT PERSON
(please print or type)
First Name (Max. 12 Characters)
M.I. (1 Character)
Last Name (Max. 17 Characters)
Position (Maximum 12 Characters)
Signature (Required)
Date
RMP Program Application
EPA 520/1-91-008
-------
Application Instructions: General Information
RMP PROGRAM APPLICATION INSTRUCTIONS
General Information
This Application may be used to enter the RMP Program or to amend an Application that you have
already submitted. The completed Application must be legible; please print or type all information entered
(except for signatures). Applications that are illegible or are incomplete will not be accepted and will be
returned to the applicant.
All applicants should read the Handbook carefully, particularly Parts 2 and 3, before trying to
complete this Application. Completing and signing the Application means that your organization
agrees to comply with all Program requirements.
Currently, the RMP Program does not provide for proficiency determinations for organizations that
measure for radon in soil or water. Only devices that are determined to be appropriate for the
measurement of radon or radon decay products in indoor air will be considered for acceptance into the
RMP Program.
The information that you submit will be entered into the RMP Program data base for the Program to
manage scheduling and participation, and for storage and tracking. The structure of the data base imposes
a limit on the number of characters that can be accepted for a given entry. Therefore, at several places
throughout the Application, a maximum number of characters, including spaces, is indicated. Characters in
excess of the number specified will be dropped. If you find that you must use abbreviations to stay within
the prescribed limits, please use the U.S. Postal Service and common participant abbreviations that are
listed in the two tables at the end of the General Information as much as possible.
THE APPLICATION HAS THREE PARTS
Part A requests information about the participating organization. Part A is also the only place in the
Application where applicants may include the information necessary to be listed in the RMP Program as
offering secondary measurement services. Part B solicits information on devices that generally will be
mailed in to the Program for testing. Part C solicits similar information for devices that generally must be
brought by an operator to an EP A laboratory for the radon measurement test. These item-by-item
instructions--which explain further some items that may need additional clarification beyond the
instructions found on the Application itself--are in the same order as the Application. Parts Band C also
require applicants to refer to the Application Device Checklists.
All information requested in the Application is required unless it appears in a section that is marked
"supplementary information" You must complete every item as directed; if you do not, your Application
will be returned to you for correction. You will not be scheduled for a measurement test until your
Application has been accepted. The "supplementary information' section asks for optional information that
will be useful to EP A as it assesses the Program over time. The national perspective that EP A will gain as
a result of supplementary information submitted by participants will also benefit participants themselves in
a number of ways. For instance, the Agency will have better information on testing activity and can assess
the health of the radon measurement industry; it will have better information to draw upon as it structures
1
EPA 520/1-91-008
-------
Application Instruction.: Oener.1 Inform.tlon
and administers user fees; it will be able to monitor trends in locations where the majority of testing is
occurring (e.g., homes or schools); and some of this information may be made available to participants in
proficiency reports and listings.
CONFIDENTIAL BUSINESS INFORMATION
The Program does not believe that information collected in the required portion of the RMP Program
Application is likely to be regarded as entitled to confidential treatment pursuant to Title 40 of the Code
of Federal Regulations (CFR), Part 2, Subpart B (41 FR 36902, Sept. I, 1976; as amended at 43 FR 40000,
Sept. 8, 1978). Nor does the Program intend to entitle information collected in the Application's
supplementary portion to confidential treatment. Please do not include business information that you
deem to be confidential in the supplementary portion of the Application. Your Application will not be
adversely affected if you leave the supplementary sections blank or incomplete.
PARTICIPANT CLASSIFICATIONS AND THE APPLICATION
Before you can complete your Application, you will need to understand the following terms that
describe participants and their activities. First, an applicant is an organization that has submitted an
Application to the RMP Program, but has not yet had it accepted by EP A A participant is an individual
or organization whose Application EP A has reviewed and accepted. The individual or organization
operates from a specific location and is engaged in radon measurement activities or in offering radon
measurement services to consumers and others. A listed participant has met Program requirements
(described in the Handbook) and is eligible to appear in Program reports and listings.
Radon measurement services may include, but are not limited to, consultation (providing information
about radon and its risks, providing advice, making recommendations and referrals), packaging radon
measurement devices, placing or retrieving radon measurement devices, operating equipment, analyzing or
reading radon measurement devices and equipment, preparing measurement results, and reporting
measurement results. An applicant, participant, or listed participant may be primary for radon
measurement activities or services, at a specific location. Primary services include the capability to analyze
or read the radon measurement device(s). Such an analysis or reading capability may involve a laboratory
or portable equipment and operators. An applicant, participant, or listed participant may be secondary for
radon measurement activities or services that do not include the capability to analyze or read radon
measurement device(s) and equipment being used.
The parts that you will submit as your initial Application depend on two points: (1) whether your
organization is to be listed as offering primary services only, secondary services only, or both; or (2)
whether you are submitting an Application for the first time to the new RMP Program (initial Application),
or revising an Application that you have already submitted. The Handbook contains information on other
differences in Program requirements for primaries and secondaries.
PREPARING YOUR INITIAL APPLICATION
If your organization has more than one business location, you must submit a separate Application for
each location. Complete only one Part A per business location no matter how many Parts B or C you
submit. Your organization's unique identification number will be assigned at the time EPA accepts your
initial Application.
If this is your first Application to the new RMP Program (that is, since February 1991), submit parts of
the Application as described below:
2
EPA 520/1-91-008
-------
Application Instructions: General Information
. Secondary onlv--If your organization's radon measurement activities or services do not include analysis
or reading capabilities (i.e., secondary services only), then complete one Part A, including Section 4.
(Section 4 is the only place in the Application that asks for listing information specific to secondary
services alone.)
Example: An organization that deploys and retrieves devices within the AC and AT methods, but does
not analyze them, would complete Part A only, including Section 4 and checking both "AC" and "AT"
in Section 4.1.
. Primary onlv--If your organization has the capability to analyze or read radon measurement devices
(Le., primary services) and does not offer secondary services, then complete one Part A, as well as one
Part B or C (as shown below) for each different brand/model/type of device or component system that
you use within each method:
Part B -- AC, AT, EL, ES, LS, RP, UT
Part C -- CR, CW, GB, GC, GS, GW, PB, SC
Example: An organization that analyzes two different brand/model/types of devices within the AC
method and one device within the ES method, but does not offer such services as deployment, retrieval,
or consultation for that type of device, would complete Part A, omitting Section 4; as well as
completing one Part B for each of the three brand/model/types of devices.
. Primary and secondarv--If your organization offers both primary and secondary services from the same
business location, then fill out one Part A, including Section 4; then complete one Part B or C (as
shown above) for each different brand/model/type of device or component system that you use within
each method.
Example: An organization deploys and retrieves devices within the AC method, but does not analyze
them. The same organization also has two devices within the CR method. This organization would
complete one Part A, including Section 4, and checking "AC" in Section 4.1 of Part A It would also
need to complete two Parts C, one for each of the two different brand/model/types of devices or
component systems that it analyzes.
Most applicants will fill out fewer than three parts of the Application. Many will complete more than one
Part B or Part C to accompany their Part A, depending on how many types of radon measurement devices
they plan to submit for testing. You may make as many copies of the parts of the Application as you need.
AMENDING YOUR INITIAL APPLICATION
If you are using the Application form(s) to amend your initial Application, you may submit separately
whichever parts of the Application have information that needs to be changed. For example, you might use
Part A to change your published address or to add a method to your listing for secondary services; or you
might use Part B or C to add a new device to your listing.
Check the box at the top of the Part A, B, or C to be revised, to indicate that you are amending your
initial Application. Fill in your organization name, your ID number if applicable, and whatever items that
are to be changed in the RMP Program data base. (You may leave blank any other items that have not
changed.) Be sure that the appropriate person signs and dates the changed form! Your revised
information will be evaluated, and if it is acceptable, it will be sent to data entry to update the Program
data base. If your organization has a seven-digit identification number, please be sure to include it in any
3
EPA 520/1-91-008
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AppllC8tlon Instructions: O.n.r.' Information
written communications or correspondence with EP A. the RMP Program Information Service (RIS), or
the RMP Program Quality Assurance Coordinator (RQAC).
If you are amending your initial Application to change a device with which you are listed or to add a
new device (i.e., the new Part B or C contains a different device number than you submitted previously),
you will be required to perform additional measurement test(s) as described in the Handbook.
MEASUREMENT METIIODS
Table 1 shows the 9 measurement methods used in the old RMP Program (Round 6, March to
December 1989) as well as the 15 methods that will be used in the (new) Program. The categorization of
measurement methods has been expanded due to refined distinctions within the original nine methods.
These are the same methods and abbreviations used in the Application Device Checklists.
Table 1. RMP Program Accepted Measurement Methods: Old and New RMP Program
Old RMP PTOe:ram
New RMP PTOe:raml
AC Activated charcoal adsorption
AT Alpha track detection
LS
Charcoal liquid scintillation
CR Continuous radon monitoring
GR Grab sampling - radon
GW Grab sampling - working level
RP Radon progeny integrating
sampling unit
CW Continuous working level monitoring
EC Electret ion chamber
AC
Activated charcoal adsorption2
AT
UT
Alpha track detection
Unfiltered track detection
LS
Charcoal liquid scintillation
CR
Continuous radon monitoring
Grab radon/pump-collapsible bag3
Grab radon/activated charcoal3
Grab radon/scintillation ce1l3
Pump-collapsible bag
Evacuated scintillation cell (three-day
integrating)
GW Grab working level3
GB
GC
GS
PB
SC
RP
Radon progeny integrating sampling unit
CW Continuous working level monitoring
EL
ES
Electret ion chamber: long-term
Electret ion chamber: short-term
1 Appendix D of the Handbook explains these methods in detail.
2Anyone applying with a device in this method category should read Appendix D of the Handbook carefully for information on EPA-
issued measurement protocols and calibration curves.
3Measurement results from these methods should not be used as the sole basis for deciding whether to mitigate. Section 2.8 of the
Handbook contains guidelines on reponing measurement results to consumers.
4
EPA 520/1-91-008
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Application Instructions: General Information
SUBMITTING YOUR APPLICATION
After completing the appropriate Part(s) A, B, or C, submit completed Applications, including
supplementary information, to:
RMP Program Quality Assurance Coordinator (RQAC)
c/o Research Triangle Institute (RTI)
3040 Cornwallis Road, Building 7
P.O. Box 12194
Research Triangle Park, NC 27709-2194.
IS YOUR APPLICATION COMPLETE?
Check the following to make sure that you have attached those items that are appropriate to the
Application forms that you are submitting.
.
The name, address, and telephone number of your customs broker or agent within the United
States.
(This attachment is for non-U.S.-based organizations only; see Part A, Sections 1.4 through 1.6.)
.
One sample of AC, AT, LS, or UT device.
(This sample will be used for verification and reference only--not for testing. See Part B, Section 2.6.)
.
A picture of EL, ES, or RP device.
(See Part B, Section 2.7.)
.
A description of any devices, systems, or components entered as .other."
(See Part B, Section 2.1 through 2.3; and Part C, Section 2.2 through 2.4.)
.
A picture of your reading/analysis system, including all parts or components.
(See Part C, Section 2.8.)
You should keep the Application Instructions, the Handbook, and the Application Device Checklists for
your future use. Make sure all parts that you complete are signed by the appropriate person. Also, keep a
fQID: for your records of any completed forms that you submit.
ADDITIONAL HELP
Before attempting to complete the Application, you should read the RMP Program Handbook. The
Glossary defines many of the terms used in the Program. If you require further assistance, you may call
the RMP Program Information Service (RIS) at (919) 541-7131.
5
EPA 520/1-91-008
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Application Instructions: General Information
Table 2. Two-Letter State and Possession (P) Abbreviations
AK Alaska MS Mississippi
AL Alabama MT Montana
AR Arkansas NC North Carolina
AS American Samoa (P) ND North Dakota
AZ Arizona NE Nebraska
CA California NH New Hampshire
CO Colorado NJ New Jersey
CT Connecticut NM New Mexico
DC District of Columbia NV Nevada
DE Delaware NY New York
FL Florida OH Ohio
FM Federated States of Micronesia (P) OK Oklahoma
GA Georgia OR Oregon
GU Guam (P) PA Pennsylvania
HI Hawaii PR Puerto Rico (P)
IA Iowa PW Palau (P)
ID Idaho RI Rhode Island
IL IIIinois SC South Carolina
IN Indiana SD South Dakota
KS Kansas TN Tennessee
KY Kentucky TX Texas
LA Louisiana UT Utah
MA Massach usetts VA Virginia
MD Maryland VI Virgin Islands (P)
ME Maine VT Vermont
MH Marshall Islands (P) WA Washington
MI Michigan WI Wisconsin
MN Minnesota WV West Virginia
MO Missouri WY Wyoming
MP Northern Mariana Islands (P)
6
EP A 520/1-91-008
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Application Instructions: General Information
Table 3. Common Participant Abbreviations
adm. - administrative exec. - executive mun. - municipal
administrator executor municipality
agcy. - agency ext. - extension oper. - operator
assoc. - associa te fed. - federal org. - organization
association federated
federation pkwy. - parkway
ass t. - assistant
geog. - geographer P.O. - Post Office
ave. - avenue geographic
geography pres. - president
bldg. - building prof.- professional
geol. geologic
bldr. - builder geologist
geology rd. - road
blvd. - boulevard
govt. - government res. research
br. - branch
hdqtrs. - headquarters resid. residential
ch. - Chief
hwy. highway rt. route
chmn. - chairman
inc. - incorporated sci. science
CEO - Chief Executive scientific
Officer inc!. - including
. included sec. - secretary
cir. - circle inclusive
servo - service
ct. - court indo - independent
insp. - inspection supv. - supervisor
co. - company
inspector svcs. - services
com. - community
commerce inst. - institute spec. specialist
institution
comm. - commercial st. - street
intI. - international
const. - construction sta. - station
isl. - island
coop. - cooperative ste. - suite
lab. - laboratory
corp. - corporation subdiv. subdivision
In. - lane
d.b.a. - doing business as subs. subsidiary
ltd. limited
dept. - department tech. - technical
memo - member
det. detection techno I. -technology
mfd. - manufactured technological
dir. - director
mfg. - manufacture terr. - terrace
div. - division manufactured
eng!neer. manufacturing twp. township
eng. -
engmeenng mgr. manager treas. - treasurer
envt. - environment mgmt. - management v.p. - vice president
envtl. - environmental mi.- mile
et al. - and others
7
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Application Instructions: Part A
RMP PROGRAM APPLICATION INSTRUCTIONS
Part A: Organization Information
This part of the Application requests information about the participating organization.
Please enter this information correctly. Incorrect or inaccurate information may alTect the Agency's
ability to contact you and correspond with your organization, as well as alTecting your listing in the
Program and in published documents.
If you are using this Part A as part of your initial Application, complete every item in Part A
If you are using this Part A to amend your earlier submission, check the box at the top of Part A to
indicate that you are amending your initial Application. Fill in your organization name, your seven-digit
ID number if applicable, and whatever items are to be changed in the RMP Program data base. (You may
leave blank any other items that have not changed.) Be sure that the appropriate person at your
organization signs the form! Your revised information will be evaluated, and if it is acceptable, it will be
sent to data entry to update the Program data base.
1.1: The organization name must be exactly the same on all parts of the Application that you submit for
the business location that you give in Section 1.5 of your Application Part A.
1.2: An organization ID number is assigned when an initial Application is accepted by the RMP Program.
If you have not had an initial Application accepted since February 1991, your ID number will be
assigned when this Application is approved. Do not use an 10 number from participation in the
Program before February 1991. Space is provided for previous ID numbers for primaries in Section 6
in both Part B and Part C. EP A will not need previous ID numbers for organizations that
participated only as secondaries in the old RMP Program (before Round 6).
1.3: The organization contact person must be the same on all parts of the Application that you submit for
the business location that you give in Section 1.5 of your Application Part A.
1.4, 1.5, and 1.6: "Country (if other than U.S.)"--The RMP Program lists in its published reports only
organizations that provide radon measurement services within the United States and its possessions.
If your business location is outside the United States, but it does provide services in the United
States or its possessions, you are eligible for participation in the Program. However: The Program
will not be responsible for obtaining and completing customs forms, or for paying customs fees or
duties required to ship detectors or other equipment. Non-U.S.-based organizations are encouraged
to use a customs broker or agent (representative) inside the United States. If you use a broker or
agent, please send the name, address, and telephone number to the RQAC on a separate sheet along
with this Application.
1.5: "Business Location"--the RMP Program generally may ship exposed mail-in devices back to
participants via an overnight carrier. The carrier must have the exact physical location of your
organization rather than a post office box or route number for the timely delivery of devices. If your
9
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AppllC8tlon InstructIon.: Part A
organization offers radon measurement services from more than one business location, you must
submit a separate Application for each location.
1.6: See instructions for Section 1.4.
1.7: If you are not a commercial measurement service or do not want this number to be published in
RMP Program documents, enter a telephone number that the Program can use to reach you, and be
sure to answer "Do not list" either in Section 4.3 in this Part A (secondaries only) or in Section 5 in
any Part B or Part C that you submit.
1.8: Commercial measurement services sell devices or services to consumers. Government departments or
agencies may be local, State, or Federal. "Other" might include private or university research
facilities, organizations that do not sell devices or offer services to consumers, etc.
2:
RADON MEASUREMENT SERVICE PROFILE. Check each box that applies to your organization.
If you do not serve consumers, go to Section 3.
3:
CONSUMER MARKETING INFORMATION. From Section 3.1, 3.2 and 3.3, choose the statement
that most accurately reflects your current status. If you checked Section 3.1, check all boxes that
apply. If you do not offer radon measurement services at the present time but intend to offer them
in the future, complete Section 3.2. If this service is not available to consumers at this time, include
a brief explanation in Section 3.3.
4:
SECONDARY SERVICE INFORMATION. Applicants who wish to be listed for secondary services
must complete this section whether or not they are also applying to be listed for primary
measurement services using Part B or C. If your organization does not offer secondary services and
you do not want to be listed as a secondary for a device in one of these method categories, do not
complete this section.
4.1: Table 1 in the General Information lists these measurement methods, and more information about
them appears in Appendix D of the Handbook. Check as many boxes as you have methods with
which you offer secondary measurement services and for which your organization is to be listed.
The method(s) that you may check are limited to the methods listed here. These are all the
methods EP A currently considers appropriate for secondary services.
4.2: The service area that you indicate should cover all methods with which you are to be listed for
secondary services, as you noted in Section 4.1. This information may be published as part of RMP
Program documents.
4.3: You may choose not to have your organization's address or telephone number (as entered in
Sections 1.6 and 1.7 above) published in RMP Program listings.
10
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Application Instructions: Part A
INSTRUCTIONS FOR SUPPLEMENTARY INFORMATION, PART A
The completion of Sections 5 and 6 of the Application is optional. The Program does not intend
to entitle information collected in the Application 's supplementary portion to confidential treatment;
all information given will be subject to release in published reports. Please do not include business
information that you deem to be confidential (pursuant to Title 40 CFR Part 2, Subpart B) in these
sections. The EP A encourages applicants to provide the information asked for in these sections. The
information will be important to the Agency in planning and implementing improvements in the
radon proficiency programs. These improvements will allow EP A to serve consumers and the radon
community more effectively. Your Application will not be adversely affected if you leave these
sections incomplete or blank.
5:
The information on total number of employees and number of employees involved in primary
or secondary radon measurement services will help EP A to characterize the organizations that
participate in the RMP Program.
6.1: Enter the total number of all radon measurement services performed, whether they were primary
services (involving reading or analysis) or secondary services (involving such services as
placement and retrieval, but no reading or analysis).
6.2: Of the services that you noted in Section 6.1, estimate the number of individual radon
measurements that your organization analyzed or read in 1990 and 1989. If your organization
did not offer reading or analysis services in either of these years, go to Section 6.3.
6.3: Of the services that you noted in Section 6.1, estimate the number of radon measurements
performed in 1990 and 1989 that did not involve reading or analysis. If your organization did
not offer secondary radon measurement services in either of these years, go to Section 6.4.
6.4: This information will be used to determine how many measurements are related to real estate
transactions.
6.5 and 6.6: The information in these questions will be used to determine the distributionofradon
measurements among these building types.
This is the end of the supplementary portion of the Application. You must continue and complete sections
7 and 8.
7:
All applicants to the RMP Program are required to have QAP(s) in effect when they submit their
Application. Do not submit your QAP until requested. However, failure to submit QAP(s) when
requested by EP A may either prevent a participant from being listed for a device or method, or result
in a delisting action.
8:
The signatory may be the organization contact person or some other authorized person within the
organization. You must submit an original signature, not a photocopy or facsimile. The signer is
responsible for notifying other officials about the Application, as appropriate. Your Application must
be signed or it will be found unacceptable and will be returned to you for correction.
11
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Application Instructions: Part B
RMP PROGRAM APPLICATION INSTRUCTIONS
Part B:
Measurement Devices in the AC, AT, EL, ES, LS, RP, and UT
Methods
This part solicits information on devices that generally will be mailed to the Program for testing.
Complete this part if your organization performs its own analyses of measurement devices within methods
AC, AT, EL, ES, LS, RP, or UT; these measurement methods are listed in Table 1 in these instructions
and are also defined in Appendix D of the Handbook.
If you are using this Part B as part of your initial Application, complete every item in Part B.
If you are using this Part B to amend your earlier submission, check the box at the top of Part B to
indicate that you are amending your initial Application. Fill in your organization name, your seven-digit
ID number if applicable, and whatever items are to be changed in the RMP Program data base. (You may
leave blank any other items that have not changed.) Be sure that the appropriate person at your
organization signs the form! Your revised information will be evaluated, and if it is acceptable, it will be
sent to data entry to update the Program data base.
If you are amending your previous Application to change the device(s) with which you are listed or to
add a new device (i.e., your revised Part B contains a different device number than you submitted
previously), you will be required to perform additional measurement test(s) as described in the Handbook.
1.1: You must enter your organization's name here exactlv as you entered it on Part A
1.2: An organization ID number is assigned when an Application has been accepted by the RMP Program.
If you have not had an initial Application accepted since February 1991, your ID number will be
assigned to you when this Application is approved. Do not use an ID number from participation in
the Program before February 1991. Space is provided for previous ID numbers in Section 6.
2:
This section requires you to consult one or more of the checklists in the Application Device Checklists.
The four checklists contain information on:
1 - Samplers and detectors
2 - Detector reading/analysis package systems
3 - Reading/analysis equipment components
4 - Self-contained reading/analysis systems.
EP A requires this method and device information in order to schedule your test with compatible
devices at its chamber facilities, and for listing purposes. If you use more than one brand/model/type
of detector within one or more of the methods listed at the top of this Part B, you should submit a
separate Part B form for each. A separate test will be scheduled for each type of device that you
submit.
2.1: First, use Checklist No.1 to complete this information. Find the manufacturer's brand/modeVtype of
the sampler or detector device that you plan to submit for exposure for the RMP Program
measurement test. Enter the two-letter measurement method abbreviation for the chosen device in
13
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AppllC8tlon Instructions: Part B
the appropriate space. The method specification that you enter will determine the EPA method
protocol that you should use as a guide in developing a device-specific protocol.
Next, find the five-digit "RMP Device Code" for this device on Checklist No.1 and enter the code in
the space provided. If you cannot find your device on Checklist No.1, go to the end of that list and
find the section marked "OrnER (Devices not listed above)." Determine which of the two "other"
designations is more appropriate for your device, and enter that code (either 00998 or 00999).
2.2: If the equipment used to analyze or read the detector identified in Section 2.1 is self-contained or is
made up of a group of components (reading/analysis package system) listed under one
brand/modeUtype, use Checklist No.2. As in Section 2.1, find the corresponding "RMP Device Code"
and enter it in the space provided.
If your system is made up of two or more components not designated by the manufacturer under one
single brand/model/type, you may list four equipment components, using Checklist No.3. If you have
more than four components, list the four critical components. For example, multichannel analyzers
(MCAs), MCA cards, single-channel analyzers (SCAs), amplifiers, gamma-ray detectors, and
photomultiplier tubes could be included.
Do not attempt to list computers, printers, or detector shields as components.
If you cannot find your system/components on Checklist No.2 or Checklist No.3, go to the end of
that list and find the section marked "OrnER (Devices not listed above)." Determine which of the
two or three "other" designations is most appropriate for your device, and enter that code (00997,
00998, or 00999) in the first space provided.
2.3: If you checked "other" because your device or component was not on any of the checklists, EP A must
determine whether your device, system, or component can be tested in the RMP Program. You must
submit a complete description of the device with picture(s) for all such systems/components along
with your Application; see Part 5 of the Handbook for a full discussion of how devices may enter the
RMP Program. Be sure to check the box to indicate that the required description is attached.
2.4 and 2.5: This exposure information is important for scheduling your measurement test with compatible
devices in a radon chamber at an EP A laboratory. This information also must match the exposure
instructions that you give to consumers. This information may be included in Program listings.
2.6 and 2.7: Sample devices or pictures/photographs are necessary to verify that the brand/model/type of
device submitted for the test is tqe same as described in the Application. Sample devices submitted
with your Application will not be used for testing. When your Application has been found acceptable
and your measurement test scheduled, you will receive a written request for detectors from the
RQAC with specific instructions on how many devices to send for the test and when to send them.
3 and 4: This information is necessary for listing your device in the RMP Program and for Program
publications.
5:
You may choose not to have your organization's listing appear in published reports of the RMP
Program. For example, researchers may not want to be listed since they do not offer measurement
services to the public.
14
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Application Instructions: Part B
6:
This information is important for determining your place in the scheduling queue. If you are
participating for the first time, or if you participated previously but onlv with a different
brand/modeVtype of device than the one you have listed in Section 2.1, then you should check only
the box at Section 6.1, and continue to Section 7. Otherwise, complete all the sections that apply in
Sections 6.2 through 6.4.
7:
The contact person must be the same as you entered in Part A. Section 1.3. If this contact person
changes at any time after you submit your Application Part A. you must notify the RQAC
immediately. Your Application must be signed or it will be found unacceptable and will be returned
to you for correction.
15
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Application Instructions: Part C
RMP PROGRAM APPLICATION INSTRUCTIONS
Part C:
Measurement Devices in the CR, CW, GB, GC, GS, GW, PB,
and SC Methods
This part asks for information on devices that generally must be brought by an operator to an EP A
chamber facility for the measurement test. Complete this part if your organization performs its own
analyses of measurement devices within methods CR, CW, GB, GC, GS, GW, PB, or SC. These
measurement methods are listed in Table 1 in these instructions and are also defined in Appendix D of the
Handbook.
If you are using this Part C as pan of your initial Application, complete every item in Part C.
If you are using this Part C to amend your earlier submission, check the box at the top of Part C to
indicate that you are amending your initial Application. Fill in your organization name, your seven-digit
ID number if applicable, and whatever items are to be changed in the RMP Program data base. (You may
leave blank any other items that have not changed.) Be sure that the appropriate person at your
organization signs the form! Your revised information will be evaluated, and if it is acceptable, it will be
sent to data entry to update the Program data base.
If you are amending your previous Application to change the device(s) with which you are listed or to
add a new device (i.e., your revised Part C contains a different device number than you submitted
previously), you may be required to perform additional measurement testes) as described in the Handbook.
1.1: You must enter your organization's name here exactly as you entered it on Part A
1.2: An organization ID number is assigned when an Application is accepted by the RMP Program. If you
have not had an inital Application accepted since February 1991, your ID number will be assigned
when this Application is approved. Do not use an ID number from participation in the RMP
Program before February 1991. Space is provided for previous ID numbers in Section 6.
2:
This section requires you to consult one or more of the checklists in the document Application Device
Checklists. The four checklists contain information on:
1 - Samplers and detectors
2 - Detector reading/analysis package systems
3 - Reading/analysis equipment components
4 - Self-contained reading/analysis systems.
EP A requires this method and device information to schedule your test along with compatible devices
at its chamber facilities, and for listing purposes. If you use more than one kind of detector within
the methods listed at the top of this Part C, submit a separate Part C form for each. A separate test
will be scheduled for each type of device that you submit.
2.1: Enter the two-letter measurement method abbreviation for the chosen device in the appropriate
space. The method codes are listed in Table 1 in these instructions and at the top of this Part C;
they are also defined in Appendix D of the Handbook.
17
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ApplIC8tlon Instructions: Pert C
2.2: Use Checklist No.3 or No.4 to complete Section 2.2. If the device that will be brought to the EP A
radon chamber facility is a self-contained system--that is, the device is sold as one specific
brand/modeVtype, not including computers or printers--use Checklist No.4. Find the appropriate
manufacturer's brand/modeVtype on the checklist and enter its corresponding "RMP Device Code" in
the space provided. If the equipment is not self-contained, meaning that it has two or more separate
components with different model numbers used together, use Checklist No.3 to complete the
~reading/analysis system componentsh information. Enter each of the components' "RMP Device
Codes" (for up to four components) in the spaces provided.
For methods GB, GC, PB, and SC, be sure to include among the components the "RMP Device
Code" for your samplin2 unit to be used at the EP A test facility from the group of devices listed on
the last page of Checklist No.3.
If you have more than four components, list the four critical components. For example, you could
include counter/scalers, photomultiplier tubes (PMTs), scintillation disk holders, scintillation cells,
and--particularly for the GC method--grab sampling units, multichannel analyzers (MCAs), MCA
cards, single-channel analyzers (SCAs), amplifiers, and gamma ray detectors.
Do not attempt to list computers, printers, stand-alone air pumps, air filters, or filter holders.
If you cannot find your device on the appropriate checklist, go to the end of that list and find the
section marked "OTHER (Devices not listed above)." Determine which of the two or three .other"
designations is most appropriate for your device, and enter that code (00997, 00998, or 00999) in the
first space provided.
If you have more than one system composed of different brands of equipment or components, submit
a separate Part C for each system that you wish to enroll. Because it is commonly possible to use
components interchangeably between systems, it may be useful for you to discuss your situation with
the RMP Program Information Service to determine whether separate Part C forms are appropriate
for you.
2.3: Fill out this section onlv if you are entering scintillation cells for the GS method. Use Checklist No.
3 to complete this section. On the checklist, find the scintillation cell to be sent to the EP A radon
chamber facility for the GS method and then find the "RMP Device Code" that applies to that
scintillation cell. Enter the code in the appropriate blank. Along with the appropriate "RMP Device
Codes," you must fill in the volume of the cells for the GS method to complete this section. If you
cannot find your scintillation cell listed on Checklist No.3, go to the end of that list and find the
section marked "OTHER (Devices not listed above)." Determine which "other" designation is most
appropriate for your device, and enter that code (00997, 00998, or 00999) in the first space provided.
2.4: If you listed "other" in either Section 2.2 or Section 2.3 because your system, component(s), or
scintillation cell was not on any checklist, EP A must determine whether your device can be tested in
the RMP Program. You must submit a complete description of the system, component(s), or
scintillation cell with picture(s) for all such systems/components/scintillation cells along with your
Application (see Part 5 of the Handbook for a full discussion of how devices may enter the RMP
Program). Be sure to check the box to indicate that the required description is attached.
2.5 and 2.6: This information on flow rate and sampling time is important for scheduling your
measurement test along with compatible devices in a radon chamber at an EP A laboratory.
18
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Application Instruction.: PM C
2.7: Provide the name of the operator you plan to send so that EPA can arrange for security clearance at
the chamber facilities. If you are unable to send the person you designated, you must notify the
RQAC immediately.
2.8: Pictures/photographs are necessary to verify that the brand/modeVtype of device to be brought for the
measurement test is the same as described in the Application.
3:
You may indicate your preference for one EPA laboratory for your test. Note that you will likely be
able to test sooner if you do not specify which laboratory, and instead check response (3) and allow
EP A to schedule your test for the first facility that can accommodate you. The EP A will make an
effort to schedule you to test at the facility you choose. However, the Agency may have to schedule
some participants at a facility other than their preferred one. All participants are scheduled on a
first-come, first-served basis to the extent possible.
At the discretion of the RMP Program, you may have the option to mail in some devices to the
RQAC. Nevertheless, you should check one answer here. Your appointment letter will allow you to
confirm whether you will walk in or have the option to mail in your device. EP A is not liable for
devices that are damaged or lost during shipment by the U.S. Postal Service or other carrier.
4:
This information is necessary for listing your device in the RMP Program and for Program
publications.
5:
You may choose not to have your organization's listing appear in published reports of the RMP
Program. For example, researchers may not want to be listed since they do not offer measurement
services to the public.
6:
This information is important for determining your place in the scheduling queue. If you are
participating for the first time, or if you participated previously but only with a different
brand/model/type of device than the one you have listed in Section 2.1, then you should check only
the box at Section 6.1, and continue to Section 7. Otherwise, complete all the sections that apply in
Sections 6.2 through 6.4.
7:
The contact person must be the same as you entered in Part A. Section 1.3. If this contact person
changes at any time after you submit your Application Part A. you must notify the RQAC
immediately. Your Application must be signed or it will be found unacceptable and will be returned
to you for correction.
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