Document 91z0aoKVEy5pg50GGX9ewrOrp
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CONOCO-CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A)
SAMPLE N2
A
0111
Hazard: VCM (/) Lead { ) Noise ( )
Date
Name
cKOTUU-j ^ /U^g_j
S.S. #
C-
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---------------------------------------y ---------------------------------- -------- r
Department vtjob class cPw
wadrQUiJ
Instrument Nn
?
Time J>
Start ______ AM(
Stop _____AM(y)PM( )
Noise Cell No. Airflow______________________________
___________________
Analyst:Analysis Date:
Hazard VCM Noise Lead (Micrograms}i
PEL: 1 PPM
Over ( ) TOT:
Under ( ) PEL: '>
115dBA Per M3
TWA Exposure Q. 3 PPM
% of PEL Per M3
" ABD00344#t)7
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY DATA CARD <B) -
Hazard: VCM
Lead
Noise ( )
SAMPLE N2 ) Date `V
Time Clock (Lead Sampling Only) : IN: AM( ) PM( ) OUT: AM( ) PM(. )
0 1 1 t*
List areas you spent most time in and estimate amount of time {nearest hour is sufficient) spent.
Area
Time
Area
Time
fl\ S'__ __q 'lw\ il r.r _________________________ Ptc-'I*,v'-:-
r\ L' f'J'Z.t'' CL f
__________
, 'X~______
______ xfid
List most likely causes of possible overexposure to the hazard.
1-------- (tx___------------------------------------------------------------------------------------------
2:-__________________________________________________________________________ :-------------------------------------------------------------------------------------------------------------------------
3_______________________________________________________________________________________ ______
Check respiratory protection you used:
(v)None
( ) Dust Mask
Air-line Respirator
) Scott Air-pak
Signature
/7 LU/-V________ % Please comipplete and return to guard