NYC-WTC_000187224

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 /Addreis(aa Hated on ACT 7):

2. Air Monitor Onsite: Yes V No 3. Name of Monitor: 5. Time of Audit; / 4. Certificate No.

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

7. Address on Chain of Custody correct(as listed on ACT 7): Yes No D No, Action Taken(describc):____________________________________

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

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

10. Activity at Work Area (Check): a. No Activity ( ) b. Setting ap Equipment (Vqc-Calibrating Pump ( )

d. Sampling in Process ( ) c. 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 Piumptre Zone #2: Denise Anzoulatos Zone #3: Carlstein Lutchmedial

CITY_21MC100_0 02951399

NYC-WTC_000187224