NYC-WTC_000187198

NYC 9/11 Public Portal Document

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DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE Am MONITORING AUDIT SHEET for ROOF/FACADE CLEAN-UP PATE; / O/ NAME of AUDITOR:.

1. Location /Addreasfas listed on ACP 7):

2. Air Monitor Onsite: Yes No 3. Name of Monitor 4. Certificate No. 5. Time of Audit: am^BL

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

7. Address on Chain of Custodv correct(as listed on ACP 7): Yes No If No, Action Taken/describe):_____________________________

8, Anahiical Method Circkd(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 up Equipment (V5 C-Calibrating Pump ( )

<J. Sampling fa Process ( ) e. Breaking down Equipment ( ) F. Sampling Completed ( ) g. Doing Paper work( ) h. Other (Describe): ________ ___________________ ____ ______________ ________________

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

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

CITY_21MC100_003922830 NYC-WTC_000187198