NYC-WTC_000187236

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: 3't

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

2. Air Monitor Onsite: Yes No 3. Name of Monitor: 4. Certificate No. AO( 5. Time of Audit: Im

6. Chain of Custody Sheet Completed: Yes V 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. Analytical Method CircIed{TEM-AHERA) : Yes No If No, ActionTaken(descnbe):

9. Number of samples Usted on Chain of Custodv(do not include blank); S

10. Activity at Work Area (Check): «. >’o Activity ( ) b. Setting up Equipment ( ) c. Calibrating Fump ( ) d. Sampling In Process ("vye. Breaking down Equipment ( ) F. Sampling Completed ( ) g. Doing Paper work( ) h. Other (Describe): __________________________________________________________________________________

11. No of Pumps Running: S Problems Observed (describe):

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

CITY_21MC100_0 02951508

NYC-WTC_000187236