NYC-WTC_000187149

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE AIR MONITORING AUDIT SHEET for iROOF/FACADE CLEAN-UP / / NAME of AUDITOR: iW4 govaZV. /Y 1. Location /Address(a3 listed on ACP 7): I C- ^0 ~r£> 'O 2. Air Monitor Onsite: Yes No

4. Certificate No. A H<3g-infc/ 5. Time of Audit: / 3 C m

6. Chain of Custody Sheet Completed: Yes No K No, Action Taken(describe):

7. Address on Chain of Custody correct(as listed on ACP 7): Yes No If No, Action Taken(describe):

8. Analytical Method Circled(TEM-AHERA): Yes No If No, ActionTaken(describe):

-- 9. Number of samples listed on Chain of Custody (do not include blank) : 5 10. Activity at Work Area (Check): », No Activity ( ) b. Setting op Equipment ( ) c. Calibrating Pump ( )

d. Sampling in Process e. Breaking down Equipment ( ) F. Sampling Completed { ) g. Doing Paper worh( ) h. Other (Describe): ________________________________________________________________

11. No of Pumps Running: Problems Observed (describe):

Zone Coordinators: Zone #1: Al Plumptre Zone Ulz Denise Anzoulatos Zone #3: Carlstein Lutchmedial

CITY_21MC100_002965330

NYC-WTC_000187149