Document 1QmVdjaQ0LQD1J2rnQ0e51d2K

INSTRUCTIONS: Originator attaches Part 2 to laboratory results and forwards to Medical Services. INDUSTRIAL HYGIENE SURVEY DATA - AIR MONITORING KM--4293-A EMPLOYEE NAME (LAST. FIRST) ^(TUECEP , Ri>j WORK LOCATION fjxiT X ~ T-6&uas EMPLOYEE NUMBER V5'3 ~ 23 ~ N&} TwsuAcvfef- un>Z BODY U.OS a. ui a. CLOVES O 02 wficOf OTHER Cmx^o IT V Lab Sample Number I.D. Number FflliVT- TEMPERATURE </) oz zo RELATIVE HUMIDITY i BAROMETRIC PRESSURE o AIR VELOCITY 2 F % 2^.35 "Hg fpm mph PUMP MANUFACnjRER/S N. Z 2q PRE FLOW RATE <o 0c"fiJlul -- 2-On jwuuia FFLLOOWWRRAATTEE 7 "J 7.0^ jJdM-U U DIFFERENCE FLOW f D,Jl Time On Time Off Total Time (min.) Flow Rate (LPM) Sample Media Volume (liters) Net Sample Wt. MCO 1130 ISO 2.DJ^luala ZSwma (0.<& Afl; -- tT. TOTAL TIME TOTAL VOLUME i. ---------------------------- 2. 3. 4. 5. SAMPLE ANALYSIS | 6. SUBSTANCE ' ftssersTDft 2. TWA (Time) TWA 8(hr) 0.D3 UNITS - AUTHORITY STND. NO. SEVERITY ANALYTICAL METHOD himSti fVDD 3. 4. 5. 6. LABORATOR' || (WORICACTIVITIES. OPERATION. LOCATION. VENTILATION. CONTROLS) -------------v -^-IM^-i------------------------------------ 1 1 W-VVI---------------------------------------------------- 1--------E/U-f l.r^-12--------^ , BLANKS (No.) REVIEWED BY COMMENTS DATE BULKS (No.) IB 002201 SWRf/Ashootno ooo/i F.S c- u INSTRUCTIONS: Originotor attoches Part 2 to laboratory results and forwards to Medical Services. I.DySAMPLE NO ^ 1879 DATE INDUSTRIAL HYGIENE SURVEY DATA - AIR MONITORING km-**.** FACILITY EMPLOYEE NAME (LAST. FIRST) #LL3D, JOB TITLE \)ICT0R WORK LOCATION Cat X SURVEYOR X-I3m,\AA6 EMPLOYEE NUMBER ^ ~SR ~2l2Z J^viSuJatax < RESPIRATOR'- to-fftcE \Phte?ft QSU>. z u&iiuuaS tmt owoeaO I I" tK ) H.ri-A-T / (S>6LftS,3S TEMPERATURE n ^ RELATIVE HUMIDITY 82 % ^ BAROMETRIC PRESSURE s 29.8S "Hg J AIR VELOCITY fpm mph PUMP MANJJFACTURER/S.N. M #2 Lab Sample Number !|| SAMPLE ANALYSIS | ' *n I.D. Number Time On Time Off Total Time (min.) Flow Rate (LPM) Sample Media Volume (Liters) Net Sample Wt. i. \SBSTD& 2. \%y\ o\oo 11 3d ISO l-OJlImd ZJmm tassetie. vj/cc\ 3DO >.Z\ flu. O.S Aft) TOTAL TIME TOTAL VOLUME 3. 4. 5. 6. SUBSTANCE ' (taftESTOS 2. TWA (Time) T8W(hrA) 0.01- UNITS AUTHORITY f/<X STND. NO. SEVERITY ANALYTICAL METHOD 3. 4. 5. 6. LABORATORY USI (WORK ACTIVITIES. OPERATION. LOCATION, VENTILATION. QDNTROLSJ\ ' - HUAPUXUfa tA)5inATT,r7k] fftCMj FitouA "' --" Rfc MBMrD. BLANKS (No.) REVIEWED BY BULKS (No.) SWRf/Asbestos 2225 ~jr r~z;. ^ "^if- *r*.i ! -* t ID NUMBER EMPLOYEE MONITORING NOTIFICATION km-4772-b 5UBSID ARY/OIVISlON EMPLOYEE NAME (LAST. FIRST) JOB TITLE t; . , -r y. vL ' \t U EMPLOYEE'S ACTUAL 8 HOUR-TIME-WEIGHTED AVERAGE zw - -S EMPLOYEE'S REPRESENTATIVE 8 HOUR-TIME WEIGHTED AVERAGE i\! j'1 OSHA PERMISSIBLE EXPOSURE OSHA ACTION LEVEL 1 FACILITY 1 "v.ii WORK LOCATION i\ i ^ EMPLOYEE NUMBER `' \ r- \ TYPE/BRAND HEARING PROTECTION WORN , ** EMPLOYEE ENROLLEO in HEARING CONSERVATION PROGRAM uj ti>w (/) u> SUBSTANCE EMPLOYEE'S OSHA 8 HOUR 8 HOUR-TIME- PERMISSIBLE WEIGHTED EXPOSURE AVERAGE LIMIT 1/:<4 i. - -1 >t L jtP'V 1: CEILING EXPOSURE LEVEL EMPLOYEE OSHA/ ACGIH -- SHORT TERM EXPOSURE LEVEL OSHA/ EMPLOYEE ACGIH - i RESPIRATOR . :S- 1 i zl-tu BOOY nUS ' L `` t 0>ui S GLOVES g uhl "uj OTHER \/ - HrlT 1 ACTION TAK EN iL { .i^LS SURVEY PERFORMED BY \Wt 3 ENGINEERING CONTROL ....i PERSONAL PROTECTIVE EQUIPMENT WORN YES NO | OSHA ACTION LEVEL 7' i i SURVEY DATE 1 :' EMPLOYEE S.GNATURE .COMPANY REPRESENTATIVE SIGNATURE DISTRIBUTION: ORIGINAL - Employee COPY - Facility File COPY - Corporate Medical Services IB 002197 .DATE SWRf/Asbestos 2226 rrrTT' EMPLOYEE MONITORING NOTIFICATION kM 72.b SU8SIOIARY/DI VISION _______________l''M_______________ EMPLOYEE NAMeTlAST. FIRST) ;`>\ r h! 1 `I I ( \ T( k EMPLOYEE S ACTUAL 0 HOUR-TIME-WEIG1HTED AVERAGE 2> 5 2</> EMPLOYEE'5 REPRESENTATIVE 0 OpR/TIMl WEIGHTED AVERAGE / OSHA PERMISSIBLE EXPOSURE OSHA ACTION LEVEL FACILITY WORK.LOCATION f"ID NUMBER i EMPLOYEE NUMBER .TvPE/BRAND HEARING PROTECTION WORN ;|MSlOYEE ENROLLEO in HEARING CONSERVATION PROGRAM EMPLOYEE'S OSHA 8 HOUR CEILING EXPOSURE SHORT TERM PERSONAL PROTECTIVE SUBSTANCE 8 HOUR-TIME- PERMISSIBLE LEVEL EXPOSURE LEVEL EQUIPMENT WORN UJ WEIGHTED AVERAGE EXPOSURE EMPLOYEE fc%m LIMIT EMPLOYEE j SaHcAg/|h YES 1 NO j?LU 2> D ': 'L V ( - 0 (...07 - f< ( .7 1 in - IV 2 CO RESPIRATOR I' Sr' 1 ru 2 H UJ BODY oUS ivnT. 21 A n t\V]t 1 H' GLOVES , 1\ L " o. UJ /o.ril T'.'f s ACTION TAKEN ] ------------------ 1------------------ ! (SURVEY PERFORMED BY i UrllrJ i 1 ENGINEERING CONTROL I 1 1 I j "T - 1 1 SURVEY DATE 1 ; O: OSHA ACTION LEVEL ' 1 , / ; ^ [, i iTlTO_______________________________________________________________________________________________________________ ________________________________ _________ ------------------------------------------------------------------------ IB 002198 ------- employee signature DISTRIBUTION: ORIGINAL - Employee COPY - Facility File COPY - Corporate Medical Services ICOMPANY REPRESENTATIVE SIGNATURE I ' i. ' (date SWRf/Asbestos 2227 CALIBRATION OF PERSONAL SAMPLING EQUIPMENT KMS260-A idct - X-BE&H5 PRE b-iM POST! n,:m N K SAMPLING EQUIPMENT ________ Mnfg/SN MONITORING CONDITIONS ; AIR TEMPERATURE I BAROMETRIC PRESSURE w, BZ F | ?/] 3& I AIR TEMPERATURE | BAROMETRIC PRESSURE s]L______ i..............._ .3b3c\ f j 5f'X?- "H9 "h9 Hfe l ATIVt HUMlDl T1 5`5 HEl A T1V t UlJMIOlTf B'-} % % ro-ptraem--t^eru^setotsint-g */A TJSECJ PRE POST SAMPLING | MEDIA j FLOW RATE _____ PRE POST YMl ' H Tin 1C 11? 1 ISm.-ci3 'vrr..........." ,,M9. W.bfc I !XZ i'i 'X ' IMZfe, -}T^-rT-p--j- -f14-4>CM.L3 I .. J. */-- T - amount of time for bubble to travel length of buret. NOTE: To determine flowrate, calculate as follows: a o X 60 sec./min = flowrate a - volume expressed as cc or ml b - time expressed as seconds To determine liters per minute, divide above calculation by 1000. 1B 002199 SWRf/Asbestos 2228 # HAGER LABORATORIES, INC. -A %'S? 11234 East Caley Avenue Enqle-.vood, Colorado 80111 (3031 790-2727 (800) 282-1835 FAX # (303) 790-2256 REPORT ON SERVICE NUMBER 42649AH June 30, 1989 Customer Project Code: 2034 To: Ms. Stephanie Settles Southwestern Refining P.O. Box 9217 Corpus Christi, TX 78469 Analysis: The following samples were submitted for analysis: Two membrane filter samples for asbestos count. Method: FIBER (count) The fiber concentration of each filter sample was determined following NIOSH Method 7400 (A Rules). Wedges from each filter were examined at 400 power using phase contrast microscopy. All fibers longer than five (5) microns with a length-to-width ratio of 3:1 or more were counted. Results: The results are found on Table 1. Discussion: The present OSHA permissible exposure limit (PEL) for asbestos is 0.2 fibers/cc. The results contained in this report are expressed strictly in terms of the concentration per sample volume and are computed based upon data provided by the client. These values are not necessarily comparable to any specific permissible exposure limit (PEL), nor have they been corrected for variation in temperature, altitude or atmospheric pressure. PEL'S for the reported substances are listed for your convenience. Hager Laboratories, Inc., has been accredited by the American Industrial Hygiene Association (AIHA) since 1977 and is enrolled in the AIHA Proficiency Analytical Testing (PAT) Program for phase contrast microscopy. Microscopists have completed the NIOSH 582 course "Sampling and Evaluating Airborne Asbestos Dust". Laboratory data: are filed and available upon request. A portion of each sample is retained for subsequent review and future analysis. If you have any questions, please contact John Kroll or Nancy Dow, Technical Services Department, at (303)790-2727 or toll free at (800)282-1835. of our PM/agg /Asbestos 2229 1B 002203 SN 42649AH June 30, 1989 TABLE 1 Sample Number 89137 89138 Counted (fibers) Counted (fields) Total (fibers) Air Volume (liters) Air Concentration (fibers/cc) 65. 100. 100. 79. 31900. 62100. 300. 300. 0.1 0.21 SWRflAsbestos 2230 IB 002204