NYC-WTC_000187202

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: f ■ • /

1. Location /Addre3s(as listed on ACP 7): SY _ 2. Air Monitor Onsite: Yes No 3. Name of Monitor

-I. Certificate No. 5. Time of Audit:

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

7. Address on Chain of Custody correct{as listed on ACP 7); Yes No K No, Action Taken(describe):_____________________________

8. Anaivticai Method CircledCTEJM-AHERA) : Yea V" No If No, ActionTaken(describe):

9. Number of samples Listed on Chain of Custody(do not include blank) :

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

d. Sampling in Process (V) e. 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_003922860

NYC-WTC_000187202