NYC-WTC_000187214

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: _ __ DATE:.

1. Location /Addre3s(as listed on ACT 7):

2. Air Monitor Onsite: Yes___ No.

4. Certificate No.. 0:2.- 5. Time of Audit:

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

7. Address on Chain of Custody correct(as listed on ACT 7): YesJ^Xf^o If No, Action Taken(describe):___________________________________

8. Analytical Method Circled(TEM-AH£RA): Yesy_ No If No, ActionTaken(describc):

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

10. Activity at Work Area (Check): a. No Activity ( ) b. Se«toj up Equipment ( ) c. Calibrating Pump ( )

d. Sampling in Process ( ) c. Breaking down Equipment ( ) F. Sampling Completed (V) C' Doing Paper woiX ) 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_0 03922997

NYC-WTC_000187214