NYC-WTC_000187235

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;_ z/sz/g--^

1. Location /Addreasfas listed on ACP 7):.

2. Air Monitor Onsite: Yes No 3. Name of Monitor :

4. Certificate No. 5. Time of Audit:_

6. Chain of Custody Sheet Completed: Yes 1/ N o 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. Analjtical Method Circled(TEM'AHERA): Yes No If No, AcfionTaken(deicribe):

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

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

d. Sampling In Process (V) e. Breaking down Equipment ( ) F. Sampling Completed ( ) g. Doing Paper work< ) h. Other (Describe):

11. No of Rumps Running: Problems Observed (describe):

Zone Coordinators: Zone #1: AI Plumptre 2Loae #2: Denise Anzoulatos ZLone #3: Carlstein Lutcbmedial

CITY_21MC100_0 02951493

NYC-WTC_000187235