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Air monitoring audit sheet, roof/facade clean-up, undated

Machine-extracted title · confidence 90%

Department of Environmental Protection audit sheet verifying chain-of-custody procedures for a roof or facade clean-up.

NYC-WTC_000187177
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Scanned page image, NYC-WTC_000187177
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NYC 9/11 Public Portal Document

Jas:

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE AIR MONITORING AUDIT SHEET for ROOF/FACADE CLEAN-UP NAME of AUDITORS PATE:, g 1. Location ZAddresifas listed on ACP 7):_ Ly _____ — 2. Air Monitor Onsite: Yes^^^No 3. Name of Monitor; £ VAfS/Te/AJ 4. Certificate No. n "7~7 5. Time of Audit:

6. Chain of Custody Sheet Completed: Yesx^ N o U 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(describc):

9. Number of samples listed on Chain of Custodv(do not include blank) :

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

d. Sampling Isi PnxressJ^x^ Breaking down Equipment ( ) F. Sampling Completed ( ) g- Doing Paper work^ ) b. Other (Describe): __________________________ ____________ _______________________ ____________ ___

11, No of Pumps Running: Problems Obsened (describe): p (2. 4

Zone Coordinators: Zone ^1; Al Plumptre Zone #2: Denise Anzoulatos Zone #3: Carlstein Lutchmedial

CITY_21MC100_006675658

NYC-WTC_000187177

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NYC-WTC_000187177Source: NYC Law Department, mirrored locally

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