Form | Consent to Access Property for Residential Yard Assessment

Your Name*

First Last

Your Email*

Enter Email Confirm Email

Daytime Phone*

Best way to reach you:

Phone call
Text
Email (NOTE: Please check your “Junkmail” folder as we have experienced emails not reaching people)

We call to schedule testing during office hours, Mon-Fri from 8-4. Please use the “Comments” section below for after-hours scheduling or other requirements.

I am the:*

Owner
Tenant
Property Manager

Address of Property to be Tested*

Street Address Area: Trail, Warfield, Oasis, Rivervale, Casino, Waneta, Montrose Province Postal Code

How would you like to receive your report containing results from the assessment?*

Mail to the address same as above
Mail to the address below
Email my results. Do not send them in the mail

Indicate where you'd like the results sent (if different from the address above)

Street Address City State / Province / Region ZIP / Postal Code Country

Are there children on the property?*

Yes
No

Please indicate the date of birth of the youngest child.

If unknown (ie. for a tenant) please indicate a contact method for the resident in the “Comments” section below so we may connect with them. Alternatively, have them fill out a “First Contact Questionnaire” which is also available on our website.

How many days a week do children LIVE at the property?

Please enter a number from 1 to 7.

16-24hr periods at this address

How many days a week do children VISIT the property?

Please enter a number from 1 to 7.

Less than 16 hours, including after school care, daytime babysitting, regular visits, etc. Feel free to leave clarification in the “Comments” section below.

What is your relationship to the child? (Mother, Father, Uncle, Aunt, Friend etc.)

Are you expecting?

Yes
No

Please indicate the due date

Is there a vegetable or fruit garden at this property?*

Yes, there is currently a garden in use
Yes, there is a garden but it does not get used
No, there is currently no garden but I plan to make one
There is no garden on this property

For information on gardening in Trail, please see our FAQs under the “Resources” tab

Are there dogs, fences, or other safety/access concerns on your property?*

Yes
No

If Yes, please check all that apply:

Dogs will be in the yard
Fences are locked and require homeowner for access
Stairs or structures on the property are in poor condition and may pose a safety risk
Other (please explain in Comments section)

We will follow-up with you for discussion. Details or further clarification can be noted in the “Comments” section below

Are there tenants on the property?*

Yes
No

Consent to inform tenants

I consent to release the results to my current tenant(s)

Tenants Name

First Last

Tenants Phone Number

Would you like to be home while the yard assessment is completed?*

The assessment is done outside and does not require homeowner presence. We will call you before coming to the property either way.

Yes, I would like to be home while the program representatives complete the yard assessment.
No, I do not need to be home while the program representatives complete the yard assessment.

Are you interested in learning how to make your home FireSmart with the help of the RDKB and FireSmart Canada Home Partners Program?

Would you like to be contacted to book a FREE Home Ignition Assessment.

Yes, please sign me up for this free assessment
No, thank you

Comments

Any other information you would like to share with us?

Consent to Access Property

I consent to officers, employees, and parties authorized by Teck Metals Ltd. (Teck) for the Trail Area Health and Environment Program, Home and Garden Program¹ entering and having access to my property at the above address for the following purposes:

Performing a property inspection including a property inspection and owner interview;
Collecting soil samples from across the yard (lawn areas) and from vegetable and/or flower gardens (if applicable) to a depth of approximately 15 cm below ground surface;
Assessing exterior surfaces for lead-based paint, including collecting samples of deteriorating or chipping paint that may be present on buildings or fences. It is not the responsibility of Teck or SNC-Lavalin to address lead-based paint on your property, but the purpose of this sampling is to identify a potential source of lead exposure in your yard, and
Obtaining photographs and drawings to record soil assessment activities and ground cover

I realize these actions are taken in order to assess the presence of historical smelter-related metals in surface soils, and that a factual report presenting the results of the assessment for the property will be provided to me when completed. I understand and agree that results of this soil testing may be shared with the BC Ministry of Environment and/or Interior Health.

This written permission is given by me voluntarily with knowledge of my right to refuse and without threats or promises of any kind. This agreement is only for the purposes described above and for no other work.

¹ Delivered by SNC-Lavalin Environment and Water, Division of SNC Lavalin Inc. on behalf of Teck

Agreement*

I grant access to my property and hereby warrant that I have the authority to make this agreement

COVID-19 Resident Interaction Acknowledgement

In response to the COVID-19 pandemic, the Home & Garden (H&G) Team has developed safety protocols to adapt interactions with property owners, residents, and members of the community (referred to as residents) during the 2020 field season. The intention of this document is to align our work with the direction provided from the Ministry of Health (www.gov.bc.ca) in order to work safely within the COVID-19 crisis.

The H&G team provides a range of services and may include the following activities: obtaining access consent, on-site planning, delivery of supplies, soil testing, soil excavation, landscaping, and lawn care treatment. H&G staff and our contractors will be abiding by the following safety protocols to minimize the risks of COVID-19 transmission:

Property access consents will be submitted online at www.thep.ca or emailed to programs@thep.ca.
H&G staff and contractors will NOT enter residences. Residents will be contacted to determine the preferred way to interact (eg. text, video call, phone).
Documents that require review or approval will be sent electronically.
When H&G staff and contractors are on the property to complete field activities (i.e. ground-cover evaluation, property walk-throughs, excavation monitoring, soil testing, etc. they will take the following precautions:
- Text or call the resident to note their arrival (instead of knocking on the door).
- Avoid physical contact such as handshakes when greeting people.
- Maintain a distance of 2 metres (m) apart from residents while on site.
- Wear clean nitrile gloves when delivering supplies to be left for the resident (e.g. garden kits or hoses).
- Reduce in-person meetings to virtual meetings and hold site meetings outside while maintaining physical distancing requirements.
- Provide a scheduled daily phone or email check-in with the resident at active sites.
H&G staff and contractors always follow rigorous health and safety protocols and have adapted work practices to include COVID-19 hygiene best practices including daily personal health monitoring, frequent hand washing, and disinfecting high touch surfaces

Note that because of this situation, delays in providing services may be experienced. Please help us by abiding by the following guidelines to help keep our community safe. Without these measures, we will not be able to provide yard and garden programs.

Hidden

COVID-19 Acknowledgement*

I acknowledge having the read the above stated precautions and am comfortable to proceed.

Signature*

Please note that all information collected is confidential and will not be shared outside of our program.

Email

This field is for validation purposes and should be left unchanged.

Form | Consent to Access Property for Residential Yard Assessment

Consent to Access Property

COVID-19 Resident Interaction Acknowledgement

250-368-3256

programs@thep.ca

1319 Bay Avenue, Trail V1R 4A7

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