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ACE Adult Survey
This is a survey that can support and assess chemical exposures for adults in relation to disaster response and contains: Survey to develop map of disaster affected areas. Recommended for environmental public health professionals collecting c...
ACE Consent Forms
This is a survey consent form to perform an assessment of chemical exposure among the adolescent population and find information on: Exposure levels communities may have experienced Recommended for environmental public health professionals col...
ACE General Survey
This is a general survey form to assess chemical exposures and collects information to: Location of exposure. Guidance to build exposure map and timeline Recommended for environmental public health professionals collecting community data pos...
ACE Hospital Survey
This is a survey for hospitals to access and evaluate any chemical exposures and measures:Hospital SurgeHospital ResponseHospital DecontaminationRecommended for environmental public health professionals working within a community or hospital set...
ACE Household Survey
This resource assesses any chemical exposures within a household setting and measures: Contact demographics Location/Exposure and Communication Health Status Recommended for environmental public health professionals who may be responsible ...
ACE Pet Survey
This resource records characteristics of a pet within a household and any exposure that they may have had to chemicals and determines: The location and exposure level of a household pet The geographic area of exposure area Recommended for en...
Disaster Impact Assessment Form
This form is used to report the impacts of the disaster on the local jurisdiction. General Information Assessment section for impacted areas Area to record impacted individuals Recommended for emergency environmental public health practit...
EPA WARN Water System Status Report
The Water and Wastewater Agency Response Network (WARN) is a mutual aid and assistance network comprised of drinking water and wastewater utilities that provides other utilities within a state a means to quickly obtain help in the form of person...