Monitoring & Sampling Plan

Air Emergency Response Monitoring & Sampling Plan

Incident:______Counties/District Affected: ______CalEMA Mission Task No.______Description______ICP/EOC Location(s):______Situation Summary CalEMA FEMA Other

Suggested PPE Site specific health & safety plan attached

Field Staff Deployed Name Contact Info Agency Assignment

Continued back page Assisting and Cooperating Agencies Representative Agency Contact Information

Sampling Plan Page 1 of 6 Field Monitoring Equipment Reference (network sites): Portable (day-week): Particulate Matter Particulate Matter BAM 10 EBAM 2.5 BAM 2.5 Meteorology Gravimetric Filter: PM10 PM2.5 WEATHERPAK Meteorology iMet station met Toxics Toxics VOC canisters (910) VOC canisters (910) Metals filters (BGI) Metals filters (924) Mobile (hour-day): Survey/Confirmation (min-hour): Particulate Matter Toxics MicroDust Miran (field IR) Toxics ppbRAE (PID) areaRAE (PID) Colorimetric tubes Canister (critical orifice) Sorbent tubes Canister (grab sample) areaRAE (PID)

Sampling Plan Page 2 of 6 Monitoring Resources Employed

Sampling Complete Instrument Pollutant Location D Frequency Duration Interval(initials)Change* Loc: GPS: other______Loc: GPS: other______Loc: GPS: other______Loc: GPS: other______Loc: GPS: other______Loc: GPS: other______Loc: GPS: other______Loc: GPS: other______Loc: GPS: other______* Include any scheduled changes; Specify any dates.

Sampling Plan Page 3 of 6 Monitoring Equipment Employed (cont.)

Complete Sampling Instr (initials) Instrument Pollutant Location No. Frequency Duration Start Stop (Day/Time) (Day/Time) Loc: GPS: Loc: GPS: Loc: GPS: Loc: GPS: Loc: GPS: Loc: GPS: Loc: GPS: Loc: GPS: Loc: GPS: Loc: GPS:

Sampling Plan Page 4 of 6

Sampling Plan Page 5 of 6 Data Disposition Reference Portable Mobile Survey/ Confirm Data Location PM BAM 10, BAM 2.5 A, AQI EBAM 2.5 AN, AQI MicroDust I Met Station met A WEATHERPAK I iMet M Metals VOC canisters A and (910) Gases Metals filters (924) VOC canisters (910) I Metals filters (BGI) areaRAE (PID) I Canister (critical orifice) Miran (field IR) ppbRAE (PID) Colorimetric tubes I Sorbent tubes Canister (grab sample)

Continued from Page 1 Field Staff Deployed Contact Info Agency Assignment

Sampling Plan Page 6 of 6