Document 3Qy1Z02BdYrQy4dLaQZVLagQa

BEAUMONT WORKS ENGINEERING DEPARTMENT MONITORING RESULTS - AIR30RKS ASBESTOS FIBERS DATE: V-//- go BUILDING/LXATI ON: $/U`i-/v /Cd/A.'T. S/-&/3 i. *J03 DESCRIPTION . Cur flop 6&sk:TS .2 * PERSONNEL ON J03 SOCIAL'SECURITY NO. Q. PS6-66-S9JQ TIME ON JOB (HRS.) 3. **MONITORING DATA: SAMPLE NO. 3- j DATE LOCATION SAMPLER 'j-ltgc Cj//xA AIRBORNE CONCENTRATION FIBERS [ 5 u/ml) A'o frfci/V SAMPLE TIME MIN. L. * A RESPIRATOR WAS/K*S BST WORN DURING PART OR ALL OF THE SAMPLING PERIOD 5. * IF RESPIRATOR WAS WORN STATE TYPE 3W 091/0 , DURATION V&________ * To be completed by Area Supervision. ** To be completed by Engineering Tech Service REW/kp ..... . _ Engineering Tech Service DUP 0500258 REQUISITIONER'S COPY DU 001123