NYC-WTC_000187191

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 : (5-^^ P DATE: __ 9 ( _____ 1. Location /Addreasfas listed on ACP 7):

2. Air Monitor Onsite: Yes___ No 3. Name of Monitor ;

4. Certificate No. 5. Time of Audlt: un/pm

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

7. Address on Chain of Custody correct(as listed on ACP 7): Yes^,2^ 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 Custodv(do not include blank):

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

d. Sunpting In Process c. Breaking down Equipment ( ) F. Sampling Completed ( ) g. Doing Paper work( ) 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_003922743

NYC-\/VTC_000187191