Document 5bzJ7QZj2Dxgbb6R56OD7JJGD
FILE NAME: Powhatan (PHN) DATE: 1951 DOC#: PHN009 DOCUMENT DESCRIPTION: Govt Inspection Reports
MARYLAND STATE DEPARTMENT OF HEALTH DIVISION OF INDUSTRIAL HEALTH
RECORD OF PLANT INVESTIGATION OR SERVICE
Plant ( P f r w i i f i f
-Lh W
A d d ress
____ __ _
No. o f Employee3 : Male
Type o f S e rv ic e
ENVIRONMENTAL MEDICAL
A ir P o llu tio n
Survey
R einspection
Study
Constilt a t ion
Sp ecial A ctivity
C o m p la in t I n v e s t i g a t i o n " _____________ ______ _
Follow -up on C om pliance w ith Recommendations^
E xposure, C ondition or Serv ice
Old Recommendations
Number of
Workers ,
,C o .
OTHER
^Industry
T ST-i iTvVJHd
"Reason S elf-In itiated 0 . D. Report Com plaint Request
Source Management Physician Labor N eigh bors
nt--
R eq u ested -
C om pleted
*
Hew R ecom m endations *>
Sam ples C o lle c te d fo r Lab.
H
C o n s t i t u e n t D e t e r m in a t io n s r%ii e* S**.., _
F ie ld D eterm inations
.. -A tm ospheric C o n ta m in a n ts
Sample No.
-----------------
JL
-------------
in^trum anFT"^--r
D aternunations
4-
P h ysical C onditions
"-- ------ _
. SIGNATURE
0
' *
+
I
%
* 1
% 9
5
I 4
t
* *
.
+4~r<
# **'
%
j
i t *
t
/
*
! *
* 4
4s
> *> *
m+
j*
%
4
*
> __
/
r /
'
V
k V
54 t '
*v V
/
t
/
t
4 4