Document 3QqnnynjkwXV77kmdLk71XvBD
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AMBQEEN CHBIICAL PLANT--OOSMETRY RECORD
Name
Shift
F:4- "
Social Secur ity No.
r^hnh^i
Job Code
Instrument No. Nobs Cell No.
HAZARD \CM
Lead Antimony Total Dust Noise
Time Airflow
8AM\ yPyyUnw*caHCEurnajnoN
a.s~
-* --Miorograms/Nn --Micrograms/M^
`-Miaograms/M,,
--% PEL
fi '--.-H .r> 1
1.
L .
'
Air Vol. (Liters) >
_______
PEL:
--Micrograms/M^
1.
IISdBA?
Yes / No
Analyst.
Analysis Date ____________________
Hazard: VCM ( 1. I oame to work at
4.
. :+,
h - --1r
mu. +
6. Other comments and information (Use reverse side of ejtrd) Signature
1:,
VAB.0001067882