NYC-WTC_000187183

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: DATE:

1. Locatiob /Addr«ss(as listed on ACP 7):. 21 2. Air Monitor Onsite: Yes X No. 3, Name of Monitor:

4. Certificate No. A Gi - 5. Time of Audit: jo ’,30 m

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

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

8. Analytical Method CircIedfTEM-AHERA); Yes No If No, ActionTaken(describe):

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

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

d. Sampling in Process ( ) e. Breaking down Equipment ( ) F. Sampling Completed ( ) g. Doing Paper »ork( ) h. Other (Describe): ________________ _____________________________________________ _______________

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

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

CITY_21MC100_003922691

NYC-WTC_000187183