Document 0Jq3bOpEnnJxn7zvVZv12BakJ

FILE NAME: Riverside Cem ent (RVC) DATE: 1976 Sept 29 DOC#: RVC016 DOCUMENT DESCRIPTION: Letter r~2- Soptoabcr 29, 1976 lUnioraMo Ja ck R. Fenton S ta te Assembly State Capitol S a ciT J.Jiito , CA 95614 l> a r Mr, Fenton: Your le t t e r o f SrptoMbor 16, 1976, rcquajCeJ re-, pause to r.uierous questions s te r lin g from your meeting uii.n tue lu tv u n a tlo ca l C u -n icci Workers d elegatio n ; the questions am v.ihlrtsscil u:t Ur tJ.u fn:-.v r i.I urns? o f your in v e stig a tio n a l n o t a lto g eth e r in the s i ' iC order as rosed by your lo t t o r . 1. S;iuitun Cytology Froup tod by the In te rn a tio n al Cntu.lcal Corkers' strong In te re s t Ir. th is t e s t , I have personally reviouod sow 29 papers cn sputum cy to lo g y . At th is tli;.o , 1 liavo reservation s as to the s p e c if i c it y and s e le c t i v it y o f tho method. N everth eless, wo have Curved as advisory cczraittoo to form alist rccoirr.vnJaticns r e la t iv e to tho j.pl Lent ten o f tin t e s t to asbestos eorkers. iVsiUa iron Occupational Health S rx ica personnel in clu d in g Cor.ui ttoo Chairman Ja sea Lira, Supervisor o f tho Standards Devolopnont U n it, the follow ing in d iv id u a ls w ill servo on the Conceittoe. Arthur hood. In te rn a tid ia l Cicuicnl Workers Union lidily Sto ry, Asbestos Workers Uiilon H. Clark Cooper, M .D ., Equitable Environ rental H ealth , Xnc. J:ir:-js D ahlgrca, M .l)., Cedars Siar.i Hudical Center (-orge iiov;' , -{Ivors ide l a r i a t Company Unviu Kandol, K aiser In d u strios Ths I n i t i a l n esting v/ill be hold on October 29, JS76; an c u r lie r date cent t not ue avringod hucauso o f p rio r cor.:.it:.*.a:.Ls o f Various cor.iutteo rOubcrs. Although I liavo assigned lA'ir. p ro je ct top p r io r ity '.:1th thu Standards l ! ..i t , I as In;.:j.tn.it to p r o je c t a filia l cr: _'---~ia .usu bvcauvo o f tho p o te n tia l cov.l v.auvr.y which : ii the o ;!... -s-.tr.i cage or in the `'baequ-va!- j.;: i lic v; i;; .eCoiv i .e Nt.r.:Jr.i '.yard. Under tho ! ,::;t o f c irc u r sta a c u s, '-'o estim ate tii'.- ciifii.iztoo - i l l have u proposal su b :.it to tin.: hoard '.'hi'. three i.ontlsj o f rin: i n i t i a l .'a ctin g and rn u d JL tlo .ia l throe as (or tho i d o - i t o p-rnr.nur.ato or r e je c t; the ir-.yos.iii s i award. I ;:!al 1 nuke every p ossib lo c i t e , to f a c i l i t a t e cf.-j m l 'u*. p ro ject. CRMC-RiversideCement-000038 linuoroMo Jack R. Ponto Scptuabor 1, i r /6 In ilio s:oa n ii .e , wo have . proposed, a..ended standard to r asbestos scheduled for p u b lic her.rin g lefur-j Lite ttaintnrds bonrJ in Los Angeles on Octr.be-r ZR, l')7; a copy r.-jiclo-.:.-1 for your review. Ant lei, ilin g the p ossib le ncccpt.'Jicc o f r.putti.i c y lo lo jy n.t an Appropriata to s t fa r usbe if.os m ivLers, n note i-.rs lean r.V .: ! to aerar mint (j)(2 ) o f sub section (.j ) , Medical lixa'diuit.ic-is, vi i evi pats r.n ct.oloyor cn n o tice o f a possible rep iiiv i.o n t, in itia te d v in the special order, to conduct diiippmstlc te s ts not o t h a w l::> included in U,-_* provisions o f the standard. As in p lic d above, i f spur un cytology i s daer.ca an advisable d ia g n o stic te st to be incJud.-d in i.cd icf:! ox;.-:linai I or asbestos workers and/or t-r.ployccs exposed to otucr substim ers, the re s t appropriate nanne? o f i-e.piLriut: the te s t would be to Include too provision in the appii cablo standard. A ltnom h \.e arc cu rren tly c e ir .itte d oi.ly to a rieterr,Lint ion o f it s b e n e fic ia i m e in the earn inai:ion o f asbestos workers, tho te d i li i qua would pro .-.fi.-di ly bo ;,.va:it.iij;cou. win-rover an increased rate o f luu;{ cancer is kn;v.:i to Le associ.".tod i/itu occupational espusero. Coke oven workers in the sto o l industry are a p a r tic u la r example. Tuo irothod ir. possi!.'ly t aspi ice. tn t.iovo i.wiiviiai.-Ir '.no nr.va been id e n tifie d nigh r is k . Y.-.ls in e v ita b ly v i l i involve : *.-:i exposed t c known carcinogens In the- uor'-.pl .co and tn >sc who n -d d iti-n aiiy sre/o. As l an sure you knew, tho evi dene* ut syuetpien Ictwe-.n sro lti.;; aid ashes tus in tho prodi.a tio.i o f lung cancer vs ovt. vulvaliving. Them apparently w ill no nord fo r t.ho ,. '-vc l op: '.oat o f snaturi cy to logy riothodolo.p/ otii.-v t .an the p o ssib le d e li. erf.ion o f an appropriato tech nique for obt'iining the sputil i serpi fn .: the bronchial area. According to tho D o p u v f.c.it's Laboratory f i e l d i tini t which developed regu la tion s port.".:n i l,: to c l i n i c a l U o r a i o r i o s and c li n ic a l laboratory personnel (17 CAC lt'S O -liij?) pursuant to &is fuaincs-s ::nd I'ro fs.-sicu s Coda (D ivision 2, Chapter Z, ?.t c tic a s lilt'd-1 "21!J , l.-i; re are ..de siato r.u. .`sera o f r/ totech im io..l e t s , t r a i ;.-'*! in n ccm lru c with 17 C.\C I d .: ! .2 , dm are q u a lifie d to conduct th..- laiorn rory portion o f f . : Vent, nocause o f tin i r experience lu spu.uci sa ::p'. in ;', those plivr.icifti::. r!.o . re rr opener, ts o f sp-.itu.a cytology w ill prasisia.ily lo the host source o f crasi:.tx:.no in cscnV-lis-hln;; a stan dard sn...pl 1ili. -othe.:. I.j.'j.'wvV:5 .1,1 t.nis .-.r.u ..- ill Co bo ccordiuuted with tho Labor.it or/ f i e l d fn r v lc s '.'s i t . It h:: not li.-on oar p ri-.cticj In liscimi. . ielo-.y roc biologic, t e s t s , or ov...a in d u stri .hl hyp.ion': iuq f:::J .s .a lc f ic a l proci: Inr e s , in ooc'i- [i.iti-iiuil in:.:lt..i stri.-lnriw to void emu lic k ;`.i.h other s t a n d a r d t i n g trees s a.ia'./or to p iri'. t centi n.' mg uti 1i t a t i'.:, o f .-dvar.cur. 1 tnr.l-.r.olopy, Co.ns-eijucatly, i t i ; un l i holy til :t ve :-::>u!b i e-s ste i.-itnor gal <h-l loos or s p e c ific proceduves to r sputo, i rav ili;* in L.o ;t sto J stcu d a rJ. 2. Annual^ Ihiysicni l-.xn::;iu:itic.:s_ fo r li ;pioyei5 Tue ('.ecu,>r.tiii;i.al iicoltii br;:;i'ji li*e; r.*<-.::ui. 1/ inv'-.itiiy.tou the l.onyoc and l.ouj, I,, nell ilsat-. o f J o h n - . ' invili-.: *. u::;d i-oto f a c i l i t i e s to lai in nQ i i il n'l ni, nl CRMC-RiversideCement-000039 Honorable Ja ck It. Fenton -3- September 29, 1976 coEpUiMcy witii tiio nsbcstoa standard although excessive exposure to s i l i c a d in t v.'!\s found tit. Loripoc. (A recommendation fo r n s p e cia l order, requiring ra d ica l oxamiuntio.is fo r a l l effected employees, has been subr/icted to the D iv isio n o f In d u stria l S a fe ty fo r p ro ce ssin g .) Too r e la t iv e ly s n a il nuuncr o f employees who .".re s t i l l o ccu p atio n ally exposed to asbestos arc con tin uing to rece ive r a d ic a l xearlnitjUins under tie provisions o f the e x is tin g standard, but eedic& l examinations ""I have boon discontinued fo r thoso...foraer asbestos workers who are now * otherwise employed. ""tUth regard to tile resp ective r e s p o n s ib ilitie s o f the employer end Cxl/OtUiA coi-ipliunco personn el, i t i s the r e s p o n s ib ility o f tho employer to determine which employee:; must be given D r ille d exam in ation s under the provision s o f 3 CAC 5203, and i t is the r e s p o n s ib ility o f the DIS (and Oli'J), in response to r.n employee complaint or in tho conduct o f ti s e lf - in i t i a t e d in v e s tig a tio n , to determine that the employer has complied with tho nodical examination provisions o f tao standard. I nave requested Jo h n s-Ik iu vtlie to return a l l x-rays iro n Denver; Johns- M auvillu contends that the u n a v a ila b ility o f x-rays r.t n p a r tic u la r tin s In the pas t was occasioned by tuc need i' v th e ir review in Denver. Dr. I.nckncr ;:hu'7 p la n 'to v i s i t bath Jch u a -Iix-iv ilie p la n ts , accompanied by physicians expert in the in te rp re t cK;o:i o f x -r a y s , a t which time : cursory evalu ation o f the q u a lity o f tho x-rays end the cor.wvtoneo/ tra in in g o f personnel ta h i;oi th o x-rr.y* i . l l l i.a v s d jJ I f m y npparont liiscrep ^ jd u r or d o fic i.a u It s c x liT T 'f ^ " .:tT r wtHToa d irected to the Dopartci-nt's R adiologic Health So ctlcn f. r fu rik e r in v e s tig a tio n . (Linder tho R ad io logic Technology A c t, Diopter 7 .4 , t'l\ is ic n 20 o f tho Health end S a fe ty Code, i t is unlawful fo r any pars mi, oV..s.ct than a lic e n t ia t e c f tho h e a lin g a r t s , to use x-rays on iacvin being.: r-.lcr.s such person i s a ctin g tudor tho supervision o f a lic e n t ia t e o f too h e a lin g a r ts end has e ith e r boon c e r t ifie d or been created a permit by the Department's R adiologic Health S e c tio n . The l e t t e r ' s a ii.'in ictrn tiv o yegul r.t ions j pear in T it le 17, Diaptor 5 . Subau:; tor 1 .5 , hep.ii.uins with Section 50-100.) Medical exur-iiiiations for asbestos uorl.ors irituout concurrent conitoriug o f exposure Icvuls can only serve to detect irre v e rsib le occupational' d ise a se . V.hilo re v isin g tho ivahcstos r.tar.dovJ e a r lie r th is year to r e dact) the perm issible exposure, lim it fre e 5 fib o rs/cc to 2 fib a r n / c c , an a: endcc-nt was uiso incorporated req u irin g expo.;:;va voascrcren ts to ho performed rl i.'.ixin.v.r. in te r v a ls o f s ix . i - i s i.v.en exposures exceed i fih c r / c c . The standard had previously u ir r o ie t t..e fed eral standard in perm itting too 41scant?r.'.ir.nco o f oxpe.'Miv; t: ur. .enc.s fo llo w in g a lietari.unstion that c i employe')': expos :>.i; l_.t oxcaoJ tho permissible expo sure l l ' * i t . Tims, toy S ta te c r i u r :.n i'.JV the it ilt ir .t io .i and con tin uation o f both nccicr.1 oxer.Anations and c v .o t r e 'ccsurorsnts aro now id e n t ic a l, I consider th is cor'incision o > . rn-.i medical sur- v c llla n e s to be the preprr is .rev protecti<.g tho U .a tth o f tho worker I consider l*o cx;wsin j l ; v i at v.h.ic i :::ri Lc.rin-* and medical sur- vr.iiInace be ii'-pl"..ntud to i*e " ' ."le c.'i in? be.fli.; o i i.io current v r ./ .ls ib 1e lim it . CRMC-RiversideCement-000040 bonorabio Juck il. Puntan -4*' Scptsxobor 2'J, 197,} j . L :ployai Ac et-s to McUicri). Keep; J j An indicated under 2, nbovo, Johno-lanvUlo esntends tha t!e> Unuvall- cbllity of x-rays citod by the International Ciici.ic.-.l V.'orkcro Union was of a tenporery nature prompted by c need for their review in Denver. t is psoblemticdl whether this particular need for rovieu vas prompted l>y requirc:ieuts of 8 CAC 5200 (j)(3) or, an allowed, becauro c f iroshd- i inp, suits by soir.o ot.ployaes. ill confira Joh.ns-tlaav illo'fi concurrence with or/ request for their rouir. flora Peuver upon ey'visit to tia rpoc- plant. " '' 1 " ~ Tno present wording o f 8 CAC 520G (j)(3 ) r..ry_be interpreted, to seen that eccoss to nn c ployco's D s iie a i ira ?rd .cn n be r e s t r ic t e d _to the onployer' s placo o f b u sin e ss. The coi rasperUnj statcoe snVTn tho Scdoral "stendord (Section 1910.9 3 ( a ) ( i) ( f ) ( ii) } ico.i'-j as f o llc v n ; '`Accs-;. Ths esntents o f tho records o f tho nodical cERteinatiens required by th is paragraph s h a ll bo node available, fo r inspect icn and copy in 3. to the A ssista n t Secretary o f Labor fo r Occupational Safety and H ealth, the D irector o f HlOSil, to authorised p h ysician s end r a d ic a l con sultan ts a t e ith e r ox theta, , 'hand, upon the request o f an splcyeo or fo iw jr e rp io y ca , to h is p h y s ic ia n ." Thus, 8 CAC 5208 ( j) (5 ), proEulgnted in e a r ly 197.1, dees not d i f f e r s i g n i f ica n tly fron the federal standard. Although i t cay not appear to r e fle c t tho exact srr.3 in te n t c f Labor Cedo u '2 .3 ( c ) , enacted in Into 1973, o in te rp re t 8 CAC 5203 ( j) ( S ) to misn th a t tho ts::p1oyar s h a ll provide tho cnployoo1s r a d ic a l record to tho csy lcy o o 'c ph ysicien fa r tho le t t e r 's inspection tv,A/or copying o r, a lte rn a tiv e ly , to provids a espy o f tho Dudicai reoit). Veer question is p ertin en t and i t r a ise s seriou s doubts ?.. to whether tho ers-ndod lnngurt'O c the 8 CAC 5208 (j)(3 ) rcq u irsco n t, s clinchtied fo r lien-ring on October 20, i s on/ b e tte r t a x i tho currant \ statem ent. be w ill roCrr yen- ciCuctior. r_n:! t '-.o proposed crcnded standard C. to tho D opr.rtrw .t's le g a l s t u f f for ti-. Lr ndvics m i a s s is ta n c e . Health Hnrard Studies Tho proposed death c e r t if ic t t o study u:uM re.low -'bone 259 c e r tific a te s of Corner <v..ployons o f turn Jol.nri-M:ville l.or>-i:.c plant to doto mine whether tho causes o f death woro rev: frctpicntly occMpatk-r."lly related than usual. This in foment.ion would prim arily provldo h is to r ic a l data but t-Jrlst uncover Ir.-itrnccs where- : t.vrUur'r. t'r.'.ily r.iy bo e lig ib le for 1.'orkar Co-opann;it i on. Tho r-nro cor^rchcasivc proposed r. it.iy c f t.'i waii. ! >;: i-.iV.*iroK Mint er.J h e a lth statu s o f workers could proviso a baodiw a f a r prospective stu d ies ever t ' -.s next 2J to 30 years to v e r ify or deny Cbn v a lid it y o f p i.w rd lir." stan-lartL) fo r asbestos and/or cliatcinacvotis osxth. Van r-edicai statu s and environ-, n en tsl mcasurenonts could then be fnHewed fo r cash v, -her. Tho study could .iI ho ho p efully id e n tify worhers u ' l h ccenp-.tiounl duo? disease who should bo rcijovoil fvow fm tlio r o.rpos-.uc to <', .t rrl/ o r require tr e a tc c n t. ...-- ; : : ; CRMC-RiversideCement-000041 Honorablo Jack 11. Fenton Scptcc& or 2 9 , 197$ Duth o f U icio studios aro iu tno planning stages ami aro contingent upon o b tain in g tho nocossury funds. I hope those uuswors aro in s u f f ic ie n t d e t a i l . I f you hnyo any q u e stio n s, please givu co a c a l l . Sincerely, RICINAl S1CNE Y d s. david k. Pa r k in s o n David K. Parkinson, M .A ., li.I J ., E.Ch. C h ie f, Occupcticr.ai Health Prandi enclosure V - cc: Senator Arien Grefcorio Art C arter, C h ie f, Division o f Industrial Safety Art Wood, V ico P re sid e n t, IC .U Je r r y Levino, ICL'iJ Leonard Poricyr.au, P re sid e n t, 1CAJ Local 2SS Frank Garcia, Ciaimun, Safety Coswitteo, ICi'.'J l<ocal 146; bcc: D irector's O ffice Legislative Liaison Health Protection Division CCU CRV : DKP :XW: dkia 2699 '&-3 - ?1--a. ....... CRMC-RiversideCement-000042