Document 3eaM5g9KYMo3v7Kd3Ok36dOnJ
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:
L. D '/Op ryi ~\f\J Q
A
CHEMICAL NAME be a-***>DR# 00 03. ~ ro/g*
PLANT
4//C -
______________ PLANT NO.
049/
SAMPLE DATE CMMDDYY) SAMPLE NUMEER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A*AREA S=SHQRT TERM P=PERSQNAL IF AREA, DESCRIEE RESPIRATOR TYPE (1 TO 7.)* 8 OR 12 HOUR SHIFT SHIFT , 2, OR 3 EMPLOYEE I.D. NO. IH JOS ASSIGNMENT *
SAMPLE CONCENTRATION RESULT
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* 2jT
S~ ?
^ P ~~ * / - 3-s c>3~ J3
J3pr ,D & /y?
COMMENTS:
P^PiTmAnJ t-c^asp <? P?m
_____ __ PfPsjiP ,nn> /? y r harjC- F ?___ ilr/Jc1.
Fls'/vC-i? __ _
^RESPIRATOR TYPE: 1 - NOT USED
4 FULL FACE
5 AIR LINE
RAW DATA:
START TIME: STOP TIME:
BEGINNING PLOW RATE: ENDING PLOW RATE:
MOUTH-BIT 3 - HALF FACE
6 DUST MASK
7 - SCBA
DO 1 404 A '>
C I 4 rr. j
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INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR: P/M <F / 0 '/^f' n,^r. Q__
CHEMICAL NAME
l?i~n > F/V gDR#
PLANT?_________________________________ PLANT NO.
^*V
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE C A, S OR P>
A*AREA S**SHORT TERM P-PERSONAL
IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 7-)* 3 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
7-j> (SrTa. Fo~~
" ur___
s~7/*?
/
i ? j- P / J3
SAMPLE CONCENTRATION RESULT ______ , jqq V ,3 ,?y73> 7/
COMMENTS : l*^ -rPr f o / ^
___ I__ 7
_____~
C / fin-r.r: to f? r-p/>, "
x C Nfl rjC- ft
^RESPIRATOR TYPE: 1 * NOT USED
2 MOUTH-BIT 3 " HALF FACE
4 FULL FACE
5 - AIR LINS
6 = DUST MASK
7 - SCBA
RAW DATA:
START TIME: STOP TIME: BEGINNING FLOW RATE: ENDING FLOW RATE: _
AO
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OP INVESTIGATOR:
t. O '/?/>,r-o/i'D
CHEMICAL NAME
/?/vQR
PLANTl MC~ ?PLANT NO,
n ~ r/
SAMPLE DATE iMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN.
SAMPLE VOLUME IN LITERS SAMPLE TYPE CA,S OR P)
A-AREA
S-SHORT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TD 7.)* S OR 12 HOUR SHIFT SHIFT i, 2, OR 3
EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
?-.2
____________________
~ __ __ ______
V M - <~v --
rV
SAMPLE CONCENTRATION RESULT ___ , J>
/r>
COMMENTS : ?rv->7?/g -
___
l n f4 c.
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~
>' r~o P c* f>/? /T v r tffi /v:-< ^
"
^RESPIRATOR TYPE: 1 NOT USED
2 = MOUTH-BIT 3 HALF FACE
4 * FULL FACE
5 AIR LINE
6 DUST MASK
7 - SCBA
RAW DATA:
STAR.! TIME: STOP TIME: BEGINNING FLOW RATE: ENDING FLOW RATE:
DO 1 4or ,
c onf: dfnttai
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:
CHEMICAL NAME
o n :r
/? t. )'/?/? o?~,n n t?OR#___________________ , ioj^- ru.~f
PLANT/JC' J>___________________
PLANT NO. 0^/
SAMPLE DATE CMMDDYY) SAMPLE NUMEER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE CA,S OR P)
A=AREA S-SHORT TERM P-PERSONAL IF AREA, DESCRIEE RESPIRATOR TYPE (1 TO 7.';* S OR TO HOUR SHIFT SHIFT 1, 2. OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT ft
SAMPLE CONCENTRATION RESULT
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s> 7
* J> 7 2.
COMMENTS: ' i ~r`n '
'-f e L p / /v 7~
r F?
,> <'-
If? ft K t fi.<7 fT y f AJ /-> ^ c- f? K* .
p r /? s/? r.< ?-/?
^RESPIRATOR TYPE: 1 = NOT USED
2 MOUTH-EIT 3 HALF FACE
4 FULL FACE
5 = AIR LINE
6 DUST MASK
7 - SCBA
SAW DATA:
START TIME: STOP TIME: BEGINNING FLOW RATE: ENDING FLOW RATE:
Do i .s o ;r,? f ONF T OF,NT T A1
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:
L, P fJf'rfijsJD
CHEMICAL NAME _____P = t?;vrDR#____________________2. ~S~Q
PLANT/~ 3PLANT NO.
* Z/
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA S^SHORT TERM P-PERSONAL IF AREA. DESCRIBE RESPIRATOR TYPE Cl TO 7.5* 3 OR 12 HOUR SHIFT SHIFT 1. 2. OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
SAMPLE CONCENTRATION RESULT
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COMMENTS: *? r /- p__2.,
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>
r v r ty t` /vr-tr tP .
l?/' P y? p / /v C- I- ( /? /V /?
/V
{RESPIRATOR TYPE: 1 - NOT USED
2 - MOUTH-BIT 3 HALF FACE
4 = FULL FACE
5 " AIR LINE
6 DUST MASK
7 - SCBA
RAW DATA:
START TIME: STOP TIME: BEGINNING FLOW RATE: ENDING FLOW RATE:
nr, i /, oi, r r
r ON!" T r TNT T Al
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR: .
L * O '/7pm -/? D
CHEMICAL NAME_________________________________DR#__ __ OOQX - {-o<rf
PLANTC ?PLANT NO. <3 *
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P>
A=AREA S=SHORT TERM
P-PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE <1 TO 7.)*
3 OR 12 HOUR SHIFT SHIFT 1, 2. OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
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______
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____ 2
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SAMPLE CONCENTRATION RESULT
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COMMENTS : 'J/'fr/t
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~> t\; l 1?/I H t !\/fZ y r H /P /VC-fT K" .
*REShIRATOR TYPE: 1 N0T ^'SED
2 MOUTH-BIT 3 - HALF FACE
4 FJLL FACE
5 AIR LINS
6 OUST MASK
7 - SCBA
RAW DATA:
START TIME: STOP TIME: "
BEGINNING FLOW RATE: ENDING FLOW RATE: __ _________ *
DO ]
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR: P/oj'jfl /. Q */?pi .0 CHEMICAL NAME_____/??*. Zn/i/i5OR* PLANT_________//C - ?______________ PLANT NO. 0*
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA S-SHORT TERM P*PERSQNAL IF AREA. DESCRIEE RESPIRATOR TYPE (1 TO 7,'y* 3 OR 10 HOUR SHIFT SHIFT i, 2. OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
SAMPLE CONCENTRATION RESULT
COMMENTS i? j C f -T. M r'JlP /? S
___ ___ /" \' r /^/? A.' C~t~ r? .
fr) t / *.
_________
HE**_______
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_____ / ~<7~ ? *~-zr5L
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sts'o ?-n Lf? z rfi b p/Qrfi 3 nj /L r-.'T J~ P) L /? /}"% / /LsC~__
^RESPIRATOR TYPE: 1 = NOT USED
2 - MOUTH-BIT 3 HALF FACE
4 - FULL FACE
S AIR LINE
S DUST MASK
7 - SCBA
RAW DATA:
START TIME: STOP TIME: BEGINNING FLOW RATE: ENDING FLOW RATE:
DO 1 A