NYC-WTC_000187225

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. Locatioa ZAddress(M Ustcd on ACV 7):

2. Air Monitor Onsite: Yes No 3. Name of Monitor:_ 4. Certificate No. 67(7 /(^/Y 5. Tb^f Audit:

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

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

8. Analytical Method Circled(TEM-AHERA) : Yes No If No, ActionTakenfdescribe):

9. Number of samples listed on Chain of Custodv(do not include blank) : s~ 10. Activity at Work .Ajea (Check): «. No Activity ( ) b. Setting np Equipment ( ) c. CaUbnitlng Pump ( )

d. Sampling In Procns^Na e. Breaking down Equipment ( ) F. Sampling Completed ( ) g. Doing Paper work( ) h. Other (Describe); ______________________________________________________________________________

Problems Observed (describe):

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

CITY_21MC100_010191431

NYC-WTC_000187225