Document 6BZ37ngq6mDZJBR2OMvZQy3m3

ABDOOO19599 (conocq) Interoffice Communication To J-Job* QuPfV'i/jltlr From Judy Frossard 7-3/- M Subiect VCM OVEREXPOSURE Employee's Name: Department: Date of Overexposure: On the above date, the named employee's VCM exposure was greater than 1.0 ppm, 8 hour TWA, pernussable limit This employee must be informed of the over exposure according to OSHA Regulation 1910.1017 which states "Within 10 working days following any monitoring and measuring which discloses that any employee has been exposed, without regard to the use of respirators in excess of the permissible exposure limit, each such employee shall be notified in writing of the results of the exposure measurement and the steps being taken to reduce the exposure to within the permissible exposure limit." It is your responsibility to 1. Inform and obtain the signature of the employee on the attached form. 2. Have someone record the reason for overexposure on the back of the form. 3. Return the signed form to me as soon as possible to be filed as a permanent record. A Judy Frossard c: file