NYC-WTC_000187220

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF ENVIRONMENTAL COMPLIANCE AIR MONITORING AUDIT SHEET for R0O97FACADE CLEAN-UP NAME of AUDITOR:. AblK/M DA-ra:

1. Location ZAddreas(as listed on ACP 7):. 2. Air Monitor Onsite: Yes v^^o 3. Name of Monitor:

4. Certificate No.. 5. Time of Audit:. 6. Chain of Custody Sheet Completed: Ym> N o 1/^ A /x) I " <7

7. Address on Chain of Custody correct(as Usted on ACP 7); Yes____ No If No, Action Taken(describe):_________________________________________

8. Analytical Method CircIed(TEM-AH£RA) : Yes No If No, ActionTaken(describe):

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

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

d. Sampling In Process (K) 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: AI Plumptre Zone #2: Denise Anzoulatos Zone #3: Carlstein Lutchmedial

CITY_21MC100_010191419

NYC-WTC_000187220