NYC-WTC_000187189

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: r ____________ DATE: ////■y^ >

Location /Addreasfaa listed on ACP 7):

2. Air Monitor Onsite: Yes.___ No 3. Name of Monitor:

4. Certificate No._ P/l /7(?- 5. Time of Audit; a

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

7. Address on Chain of Custody correctfas listed on ACP 7): Ye No If No, Action Taken(describe):________ ____________________

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

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

10. Activity at Work Area (Check); «. No Activity ( > b. SctUnj op Equipment ( ) c. Calibrating Pump ( )

d. Sampling In Process ( Breaking down Equipment ( ) F. Sampling Completed { ) g. Doing Paper work( ) h. Other p«scribe):

_______ I'^&G C Th

' i O//T

Zone Coordinators: Zone #1: Al Plumptre Zone ft2-. Denise Anzoulatos Zone #3: Carlstein Lutchnaedial

CITY_21MC1OO_OO3922738 NYC-WTC_000187189