Document 8o0qaJvgRXNzjYJpEkR3Lq1a

--LUr-V ENGINEERS INDUSTRY HYGIENE SURVEY DATASHEET (See instructions on reverse .1 THE TRAVELERS INSURANCE COMPANIES HARTFORD. CONNECTICUT OS 163 C 11A\ ^i-OCatiOn t-l-llV) GENUINE PARTS CO. INC. - RAYLOC I LOCATION | 100 Rayloc Dr. Hancock, Maryland 21750 PAGE 3 OF 4 a.tmiMji., niinvii ..ft' February 28, 1989 UB 168 T 3075 HI FLOW SAMPLER serial NUMBER TIC NUMBER 1017 _ 3/81 1994. ... 25/82 V_ - 68/83 10459 181/65 5879 ~ . 101/84 O O G GIS SAM/CAD cam PIELO (AMC.) CLAIM CSSC OTHER 'EXPLAIN) INSTRUMENTATION CILIAN HFS-113 REASON FOR SAMPLING - INCLUDE PROCESS OR OPERATION DESCRIPTION & CONTROLS .Division management's request to assess employee's potential exposure to asbeetoe fibers in the Brake Shoe Department during typical brake rebuild operations such as chopping, midas belt sorting clutch disc drilling, burning, and disc';brake riveting. Remanufacturing of automotive parts.'"s^ \ "* - - MILIP0RE FILTERS (OPEN FACED) ASBESTOS FIBERS (Including TEHS Analysis) - ' SAMPLE bAVA TIC INST NO. sample N^ABR SAMPLING LOCATION (INCLUDE EMPLOYEE'S NAME) COLLECTION TIME COLLECTION - Sun DURATION End . --(MINS) PLOW flW) SAMPLER POSITION NUMBER OF PERSONS IN AREA EXPOSURE SHIFT Tive DURATION* (MINS) (MINS) ^COMMENTS 6B/83 224F Darrel Miller 1408 1550 1021- .2.0 PS 2 .450 510 Local exhaust-ventilation Clutch Disc Driller 1B1/85 427F David Golder 0741 1155 254: 2.0 PS Burn Room Operator 2 450 510 General ventilation 181/85 429F David Golden 1241 1405 84 ' 2.0 PS Burn Room Operator 2 450 510 General ventilation 181/85 217F David Golden Bum Room Operator 1405 1549 104 2.0 PS 2 450 510 Ceneral ventilation 1 NOVO20298 oppicc Baltimore C 15036 P,lnitd In U.S.A. R58S <RaiNt J. E. David, Ill viu- Bare too [ I