Document 8V4OZ1K2ZnOYq04x31DJmxzek
ABD00344804
CONOCO CHEMICALS - ABERDEEN PVC PLANT -y DOSIMETRY CARD (A)
SAMPLE N2
0193
ABD00344805 CONOCO. CHEMICALS- ABERDEEN PVC PLANT
DOSIMETRY DATA CARD (B)
SAMPLE N .0193
Hazard: VCM {
Lead ( ) Noise { ) ----------------------------
) Date ^
____
Time Clock (Lead Sampling Only) : IN: AM( ) PM( ) OUT: AM( ) PM(. )
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
Area
Time
c
Area
Time
Rx a
/> f' rc.
<-.v f +L-C~-
h i's
List most likely causes of possible overexposure to the hazard.
1 Kf) a
__________________________________
2 _______________________________________________
3________________________________________________
Check respiratoryprotection you used:
(tA None
J
Signature ___ ^0
( hDustMask
Air-line Respirator
u Please complete and return to guard
) Scott Air-pak