NYC-WTC_000187210

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:, 1 DATE:,

1. Location /Address(as listed <^ACP 7): 2. Air Monitor Onsite: Yes2^ No 3. Name of Monitor; J 4. Certificate No. S. Time of Audit: m

6. Chain of Custody Sheet Completed: YesV^ N o. If No, Action Taken(deacribe):

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

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

9. Number of samples listed on Chain of Custody(do not include blank) : 5 10. Activity at Work Area (Check): a. No Activity ( > b. Setting up Equipment ( Calibrating Pump ( )

d. Sampling in Process ( ) e. Breaking down Equipment ( ) F. Sampling Completed (r ) S- Doing Paper work( ) h. Other (Describe): _____________________________________________________________________________

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

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

CrTY_21MC100_002965502

NYC-WTC_000187210