Document EdKoajVEae3Go0jnL4ZwO6r0g

*409- wm*56684 ABERDEEN CHEMICAL PLANT-DOSIMETRY RECORD N 9 001034 M,TM Aft* ** ____________Date '*'** Sbcial Security No.Job Code_____________________________ ~Z Instrument No. Afsh.______ Time Start , _ Stop _____AM( ) PMIY^_____ f'-ty AM(v)PM( > Airflow_______________ __________________ HAZARD VCM Lead Total Dust />A | -PPM q --Micrograms/M --Milligrams/M^ SamDle Time PEL: --Micrograms/M^ Analysr /-/] An Hazard: VCM I i Lead I ) Dust I ) l\ N9 001034 1. I came to work atAM ( ) 2. I left work at AM ( ) PM ( ) PM ( ) Firewatch Work? Ye:; / No (Circle One) 3. I did the regular work of a (enter Job Classic_______ 4. I used a respirator during the following jobs (check one) Nonf Oust Mask Alr-Llna . Rwp. Scott Alr-Pak 3M Air Hat 5. The following unusual.events may have caused me to be overexposed: 6. Other comments ?nd information (Use reverse side of card) Signature_________________________________ Please complete and return to Guard