Document Dw5LZ9VZk01DE2dD3maJbxE4

dl Block (hyc&'t- Pert n or Area Monjtor __ I- '*-/ti'' N2 05735---------------------- Sample j---- Monitoring tor ~ ' _____ Type Sample: f Personnel Q Area i * Excursion Q Other------------------------------------------ Date-- ___V- ~ I: ^---------------- 3 i Other Chemicals Present: Job Classification___ *'- r * 7"Description of task performed during monitoring period t t i / -,, ineluding any unusual activities-------- V-- ** '----------------------------------------------------------------------------------------- \ Time Started / ' -** _____ I__ ' Time Stoppad J* - * n ^_________ Beginning Flow Rols__U______ Respirator used Yes Q No Ending Flow Rate________________ Calibration Check Prior to Monitoring? [' Yes [] No Calibration: [] Bubblem^ter [] Rotometer (3 Other > > ' <'*) > - NOTE: Job description must be concise and complete. IOUISIANA DIVISION INDUSTRIAL HYGIENE fType?___ f_________ Wind, Temp, and Humidity Form filled in by. :<l1 -\j. Block. (Lhy C.QL. Monitoring for_ <ro Other Chemicals Present: Person or Area Monitored. . -4 O Ca c(r Sample N2 05736 Type Sample: [3 Personnel Area [3 Excursion [3 Other. Date. C * < X Job Classification_____________________________ Description of task performed during monitoring period including any unusual activities. /A J> _____________ _____ Time Started Time Stopped <B ' ? 0 -4 ~ ) `fZ-o 3 ' ^ Beginning Flow Rate___ -\'J" Respirator used [3 Yes [3 No Ending Flow Rate. Calibration Check Prior to Monitoring? PTYes No Calibrati n: [3 Bubblemeter (3 Rojometer }' Other i* ______ NOTE: Job description must be concise and complete. LOUISIANA DIVISION INDUSTRIAL HYGIENE 23./ Type?--------------------------------Wind, Temp, and Humidity Form filled in by. r vi: A> OONFTDfTMTf Block. Monitoring f r_ <T0 Other Ch micals Pretent: Pers n or Area Monitored. Type Sample: 0 Personnel Area 0 Excursion 0 Other. Kj 7Vi Off, g- 5npl Date UO/ / 0 y. / Job Gassification-------------------------------Including any unusual activities. .Description of task performed during monitoring period .J1 Tim Started. >* *- .1C' S a k* Time Slopped_____ w.-.i/1____ rrBeginning Flow Rate. srEnding Flow Rate. Respirator used 0 Yes Calibration Check Prior to Monitoring? 0 Yes 0 No Calibration: Q Bubblemeter 0 Bolometer P Other. ^r(S<'S, NOTE: J b description must be concise and complete. 0 No LOUISIANA DIVISION INDUSTRIAL HYGIENE *O* Wt' 1 / */ Type?. Wind, Temp, and Humidity Form filled in by. Bl tit /> . c r> 1- Monitoring for. Other Chemicols Present: Person or Area Monitored. o As a//. r <'' V Sample ^0 05776 Type Sample: Q Personnel (2f~Area Excursion Other. Dote. . s O . ^L Job Gassification-------------------------------- .Description of task performed during monitoring period including any unusual activities. ]V N 3 q 1 r> Oo >-_fc 'JO) A "/i CD Tim Start d_ Time Slopped____ 'o~ ? . </>o "7 Beginning Flow Rale__ sj5 Respirator used 0 Yes Q No Ending Flow Rate. Sc Co!ibrati n Check Prior to Monitoring? Yes 0 No Calibration: 0 Bubblemeter 0 Bolometer 0 Other__ 0;/ `V's'Zl--------------------------- NOTE: Job description must be concis and c mplete. LOUISIANA DIVISION INDUSTRIAL HYGIENE 5V J Type?. Wind, Temp, and Humidity Form filled in by.