Document DMNJX1jL2zX3BY5QVwZG56q8N

FILE NAME: Shell (SHEL) DATE: 1985 DOC#: SHEL101 DOCUMENT DESCRIPTION: Industrial Hygiene Sampling Forms with 2002 Affidavit by Matthew Carroll l i t r e s & NrcHUD lo o m rorj.ao I'U . 3 J f ifXJJ) AFFIDAVIT OF MATTHEW CARROLL STATE OF CALIFORNIA COUNTY OF BEFORE ME, the undersigned authority, on this day personally appeared, MATTHEW CARROLL, known to me or through his driver's license, and who, upon his oath, deposed and states as follows; My name is MATTHEW CARROLL I am over the age of eighteen (18) years, have neveT been convicted of a felony; and am fully competent to make this affidavit. The facts stated within.this affidavit are within my-persona! knowledge and-are true and correct. Attached .to this affidavit as Exhibit "A" are fiber release studies during gasket removal produced under my direction and control while I was an Industrial Hygienist working for Shell Oil Company.at its .Wopd.Rivcr, JL refinery. These documents weie made at or near the time of the tests reflected on them by a person with knowledge o f such tests. The documents attached as Exhibit ;`AMweremade. and kept in the ordinary course of Shell's business at the Wood River refinery by the Industrial Hygiene Department and it was the regular practice o f the Industrial Hygiene-Department to make and keep.such tests. Each of these documents are genuine and authentic copies o f origmals madt-and kept by Shell in the ordinary course of their business. And affiant sayeth not. MATTHEW- CARROLL Subscribed and sworn to before me, 8 notary public, in and for the State of CM on this the Tru_- day of . 200Xto certify which witness my hand ana official seal. 5- SAM PLED b y (L.AST NA M E A IN IT IA L S ) ACCOUNTING CODE tHirNO: -i_ : 033220 1-- L - .1 - ..(... 1 . .1. . 1 1 .1 CONDITION OF SAMPLE UPON RECEIPT 0 OK Olhtr (Datcrib*) l _I . . l _ . l . L JL.L . .n a l y z e o b y ~ M ETH OD N U M BER A N D /O R D E SC R IPT IOiNn / d l4 s JL iA & yJvJ-A' ? LS l REFERENCE A N A LY T IC A L R ESU LT S UNITS. Q FPMV fn/ms S | * 111 1 1 LAB RECORD NO. , m W y ff GROUP METHOD CODE NUMBER OF ANALYSIS :oLS ------------- ^ weekT 5*7 ^bATE- RECEIVED * BOXNO. v;> . 0 FTSAMPLErrte'/v, -'... lo c a t io n A ZQlYY\ , r , 0 DATE REPORTED W EEK - DAY} //'J , BENCH HOURS (XXX.X1 EXPOSURE CALCULAT16N TW A, PEAK />? -f/k,A : /// f/ tt' / * C H EM IS T \ jttfr ] NO - NONE OETECTED (REPORT LIMIT OF DETECTION) CALCULATED BY 4 ) 1 'DUSTRIAL h y g ie n e -MPUNG FOAM F SAMPLE TYPE.5;:- ' y ~COELECTOR? 7 SRjTTQ VI 0 1H L N O . > AMAI Y X IS H tin iilR g g UHL 03321Sf SOCIAL MCimlTY HtAllER LMf LOVtE NUuun JO* cxrosune monue JO* tltL t lZ Z Z r> ^ J U L O J2 1O PE R50NAL-TWA 7 Q FER5QNAL-PEAK 3 cnCnEA 4 OBLANK EOBULK 6 O LAB OQNTHOL 7 OSOURCE B O _______________ 1 o CHARCOAL TUBE 3 D FILTER IRESM, 3 ( m i T E n (TOTAL! 4 0JUPINGER _ n PASSIVE * " DOSIMETER # SIUCAGEL 7 o packed tube _______________ POSSIBLE INTERFEIIENCES/INSTRUCTIONS CODE NAME nESULT J.C txjO . UNIT t Q ppmv s o u q 3 OMGJM3 eO FU Eft ldP?BV 7 Q * WT 4Grc ? 6 W , o * v0L- a. yDA o=/^oI T? SAMPLEO *r S i R -------------------- locatiok , s h e l l Facility gpoT htni r - 0 0 *-/ ba ro m eter T&rEliATURE SAMPLE NO. JS E F tE ffW k a. AREA/ UWIT ofiR A ^nr. COtJOITlOMf V OPCRATIOH TIME STAJU [13 -' WINO IN. MG TJOBIElfT :-- r - , ` v ` .Vf w o r k t ^ s k . - - ^ U J O inC .O 51^ 3^ ^ * ' * OISCNimOM 0 * COLLECTOR tOTNcLETU uvLm c. s il k . Cl Z -m . rrv afc. <* ` U V *7 m - C xxaMvqC C u ' TIME INSTR. ! -1.? i .i;; v >'1it -f.4r SKETCH A n fcA {And Or Rom trkt) |P>E AT TASK READING V fioi PuA~^l _CkeLC*=C=2j-- -V^L-L_Cfc-A_L-c5 C^rVV\<0>JjjX>_Cy^cW4?Jv444fc.. S< 1 ^^frsc^ r^ S M D B ^ g ' a ! Ij t* a a---Lxj>ac^-Jyjrir<.. k w>>. _____ a----hf : vr. r t . Ci-nrrxM. .ItwT X o ^ __ J b p A f l i L A I f a t i .-1 ^ ^ ^ ^ ** ^ i%i n - -_ _ J PU1H7IFFS DEPOSITION j EXHIBIT 3 O Or .fLl-UYv<3 I k <l . S ' $ i ~ r l ' Pttfs&ru/ PrnstcXrvc Equipm ent: Check Column fo r Each Tm A W htrt Won\~ TY rE: GIVE EQUIPMENT USED, MPR., MODEL NO.. ETC. INSTRUMENT TYPE & MODEL NO~. C ^SfY 1 CALIBRATED *Y t l O ^ C C L ^ A A ^ -tJL REFERENCE/METMDO "S E S lA C iR n 0 j o < ic . 1 -_ Jf au/-X 4i /r-S * FORMATION FQRTYtA DETERMINATION - LENGTH OP SHIFT L JIN . DOES THIS SAMPLE REPRESENT EXPOSURE OVER THE ENTIRE SHIFT* QYES It/Jo : DNO - TWCLUO* RESULTS PROM____ ADDITIONALSAMnjU UTTACWtCI VOLUME FERCOUNT COUNTER READING a sw cn W RO i K P o a m t r c tn ............ w ttm r r in r ih ip t o u a iim MAIOD NOT (AJUPUO, D TW A CANNOT BE CALCULATED FROM THESE SAMPLES. FLOWRATE * p .O JL p^--- SAMPLING TIME f O -S - um. so Fin a l * INITIALi_ NET- V WAS A RESPIRATOR WORN DURING f ' SAMPLE TO CONTROL EXPOSURE? OYE5 OHO A DIO ANY SIGNIFICANT JT SKIN CONTACT OCCUR? YES ONO y COMMENTS m DATA CLASSIFICATION 0 5D B3HW W n& m ?6BY 's /iliS T a< BATE ' r `d ) ..V< . /T^n S A M P L E O BTV (L A S T NA M E A IN IT IA L S ) ACCOUNTING CODE 1I I 11I I 111111111111t c o n d i t i o n of SA M P L E U P O N R E C E IP T y i OK 0 h*r /ftM crih*; T t 1 T i I S i A i T i i i 1^ />. jy /> U n ^ d a J METHOD N U M O tt AN D/OR OeACRIFTIOM flEFER tN ci DATE LAB RECORO NO, a n a l y t ic a l r e su lt s '4 0 /> . - UNtrsi HM V in t/M y ^ p /c C ^ - * < 0 ,& 7 i C/ L M r /f / . O sS J . 4 f*A < > \ SUPERV ISIN G CHEMIST ifeofV p ti ( * NO -N O N E 06TECTE0 {REPORT UMIT OP 06TECITOWI l I GROUP METHOD COOS NUMBER O F ANALYSIS fvsa&^ DATE r e p o r t e d ] CWEEK-OAY) BENCH HOURS DOOOO E x w su R t c a Lc u l a t i6 n1 //-^ > TWA. PEAK r c a u x il a TEO OV I