NYC-WTC_000187231

NYC 9/11 Public Portal Document

DEPARTMENT OF ENVIRONI^NTAL PROTECTION BUREAU OF ENVIRONMEOTAL COMPLIANCE AIR MONITORING AUDIT SHEET for ROOF/FACADE CLEAN-UP NAME of AUDITOR: r4 Q 0 . .

1. Location /Address(aa listed on ACP 7):. A- 2. Air Monitor Onsite: Yes No 4.CertiffcateNo._jV\A_3_il22525_2_5.2^ 5- Time of Audit; 3. am/^i^ 6. Chain of Custody Sheet Completed: Yes No If No, Action Taken(describc):

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

8. Analytical Method Cln:Ied(TEM-AHERA): Yes No If No, ActionTaken(describe):

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

10. Activity at Work A rea (Check): a. No Activity ( ) b. Settine op Equipmeat ( ) c. CaUbrating Pump ( )

d. Sampling In Process 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: Al Plumptre Zone Denise Anzoulatos Zone #3: Carlstein Lutchmedial

CITY_21MC100_002951427

NYC-WTC_000187231