Document GmwpNVX9k1ZNO929dVpndER74
ABD00345616
N 000255
ABERDEEN CHEMICAL PLANT-DOSIMETRY RECORD
A
HAZARD c* VCM
Lead
Total Dust
SAMPLE CONCENTRATION
(Time Weighted Average)
<&,/ -PPM t --Micrograms/M^
--Milltgrams/M^
Samole Time
PEL:
-Microgams/M^
Analyst Analysis Date
^2-
^
ABD00345617
Hazard: VCM (^Lead { ) Oust ( ) ( )
N9
1. I came to work at__ $ ^lOO__ AM
PM
Firewateh Work?
2. I left work at .--l4oQ..... AM ( > PM (C^\ Yes /OiaAC\xc\e One)
000255
A
3. I did the regular work of a (enter Job Class)
4. I used a respirator during the following jobs (check one)
' Oust
None
Mask
llr-Llne tesp.
Scott Air-Pak
3M Air Hat
Cjfns
5. The following unusual events may have caused me to be overexposed:
6. Other comments and information (Use reverse side of card)
Signature
Please^Iomplete and return to Guard