Document 4vRbbwG1Or88jY0kJ5XkgBmgQ

ABD00096764 CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A) N2SAMPLE 1179 A CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY DATA CARD (B) Hazard: VCM (< Lead Noise ( _ Mp| _ mo 1179 Date /*//<?/& A Time Clock (Lead Sampling Only) : IN: 6 Yd AM( ) PM(g^QUT: OtyO AM(><QM( ] mList areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent. Area Time Area Time List most likty causes of possible overexposure to the hazard. T 2.. 3.. Check respiratory protection you used: ^^NNoonnee (( )) DDuusstt MM^^sskk pp^^]) Air line Respirator Signature jLxz*.^ r PPleleasaesecCoommopleleteteaandnd return to guard ( ) Scott Air-pak