NYC-WTC_000187151

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE AIR MONITORING AUDIT SHEET for . ROOF/FACADE CLEAN-UP NAME of AUDITOR; < rVvstr-A)

1. Location /Addressfas listed on ACP 7):/

3. Name of Monitor: r ' P \\ 2. Air Monitor Onsite; Yes No. < s 4. Certificate No. A/4 5. Time of Audit:

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(deseribe);____________________________

8. Analytical Method Circled<TEM-AHERA) ; Yes No If No, ActionTakenfdescribe);

9. Number of samples listed on Chain of Custody(do not include blank) ;

10. Activity at Work Area (Check): «. No Activity ( ) b. Setting op Equipment ( ) e. Calibrating Pump ( )

d. Sampling fa Process ( X) e. Breaking down Equipment ( ) F. Sampling Completed ( ) g. Doing Paper worb( ) h. Other (Describe): ________________________________________________________________________________

11. No of Pumps Running:__/_^ Problems Observed (describe):

Zone Coordinators: Zone #1; A! Plumptre Zone U2'. Denise Anzoulatos Zone #3; Carlstein Lutchmedial

CITY_21MC100_002965332

NYC-WTC_000187151