NYC-WTC_000187215

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE

ATO MONITORING AUDIT SHEET

Name of Auditor: i I Io Date of Audit:

1. ew-wA-ww. 11 t S-V

Air Monitor Onsite: Yes_^ No_ Name of Monitor: co Certificate No. .A tin->12*76 Time of Audit: /1 pm

Chain of Custody Sheet Completed: Yes_2_ No____ If No, Action Taken (describe):

Activity at Work Area (Check): 1. No Activity ( ) 2. Setting up Equipment ) 3. CeUbrating Pinnp( ) 4. Sampling in Proces»(^ 5, Breaking down Eqiiipment( ) 6. Sampling Completed( ) 7. Doing Paper work( ) OtherfDescribe):__________________________________________________________________ __

No of Pumps Running: Any Problems Observed(describe):

30 v9Q.\\ \X2. Premise Address: Air Monitor Onsite: Yes^ No Name of Monitor (S)V>t kuX- hl O V

Certificate No. Time of Audit; _______ im

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

Activity at Work Area (Check): l. No Actlvitj ( ) 2. Setting up Equipment ) 3. Calibrating Pamp( ) 4. Sampling in Process^^ 5. Breakfag down Eqnlpnient( ) 6. Sampling Completed( ) 7. Doing Paper work( ) OtheitDescribe):____________________________________________________________________

No of Pumps Running; Any Problems Observed(describe):

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

CITY_21MC100_0 03923002

NYC-WTC_000187215