Document 0JZ3K00dQnd4jyL7nE6DV6Zxm
ABD00350950
/
ABERDEEN CHEMICAL PLANT-DOSIMETRY RECQR N 002306
N.-. TYh)Ct
_________ .Shift
'-1(7-Sdcial Security No. CfU - 307 7>
Job Code
^^3Instrument No.
Start Time_0_2C^_AM(/J'PM( )
Airflow.
Stop am<
IW HAZARD W VCM 'i
Lead
Total Dust
SAm2S,iT5ft.T,ION (^./-PPM '2 --M iaograms/MJ --Milligrams/M^
Sample Time
PEL:
--Micrograms/M^
Analvsis Date
ABD00350951
n<Hazard: VCM ) Lead ( ) Dust ( )
1)
^1. I Camo to wnrlf'at
PM (
2. I left work at //og-_ AM ( ) PM (
N
rew^tch Work? ^Nojcircle One)
3. I did the regular work of a (enter Job Class)
7ftifAcl
4. I used a respirator during the following jobs (check one)
Non*
Dust Mask
002306
JM Air Hat
5. The following unusual events may have caused me to be overexposed:
6. Other comments ?nd information (Use reverse side of card)
Signature
Please
plete anereturn to Guard