Document KZxgQqo2ZbEe0xny74mzkzXx
ABD00342710 CpNOCO C HEMICALS - ABERDEEN PVC PLANT
DOSIMETRY CARD (A)
SAMPLE N2
1417
Hazard^VCM (
Lead
Name
Department
Instrument Nn. *-*$ 1 * l\ __ Time
Start
Stop
3 V._ AMf'^MI ) 7 0 & AMI |PM^)
Noise Cell No. Airflow_______________________________
___________________
Analyst:
-Analysis Date: *7'
~ 3Q
Hazard/ VCM Noise Lead (Micrograms)i
PEL: 1 PPM
Over ! ) TOT:.
Under ( ) PEL:
TWA Exposure
^Co / 115dBA
Per M3
PPM %of PEL Per M3
ABD00342711 CONOCO CHEMICALS- ABERDEEN PVC PLANT
. -DOSIMETRY DATA CARD (B)
QAMD1 _ KJO
14 17
SAMPLE IM-- .141/
Hazard: VCM (H^ Lead ( ) Noise ( Time Clock (Lead Sampling Only) : IN:
AM (<PM(
( ) Date
OUT: H
AM( ) PM^T"
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
Area
Time , .
Area
Time
' k&--
List most Jffiely>cau$es of possible overexposure to the hazard.
1 __________ ____________________________
2 ______________________________________________ _______ -3
3____________________________________________
Check respiratory protection you used:
A /,)U , /None .
Dust Mask
I
Signature________
'-
s'A'*.
'>
/
Air-line Respirator
y Please complete and return to guard
( ) Scott Air-pak