Document LJyDN50QGxgKR7aM8Gn8JZMOb

ABD00096772 CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A) CAMD, _ MO SAMPLE 0Q27A Hazard: VCM (X) Mamp Lead ( I Noise ( J_----------------------------- -( ) Date ti'JU0.---------- kf -------------------- S. S. sl21_Shift_4--------- >----------- Department VmL% -------------Job Class C--------------------------------- Start____________ ____________ Stop (p<h_3 AM( )PM(>3 *7 -Of AMOnPMf ) Noise Cell No. Airflow Analyst. Hazard VCM Noise Lead (Microgramsh Analysis Date: ^ PEL: 1 PPM Over { > Under ( ) TOT: PEL: 115 dBA Per M3 TWA Exposure < O . / PPM % of PEL Per M3 CONOCO <,C H EM ICA LS - ABERDEEN PVC PLANT , Dosimetry data card (b) N2SAMPLE *0927 Hazard: VCM (X) Lead ( ) Noise ( )_____-_--_-_--_-_--_-_--_-_--_-_--_-_--_------( } Date Time Clock (Lead Sampling Only) : IN: _ J AM( ) PMO^) OUT: 7 ;/W AM^ PM( List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent. Area f*rCr Time. ^ Area Time ________________________ _____________ !L_ - t List most likely causes of possible overexposure to the hazard. 1. 2. 3. Check respiratory protection you used: t^^None ( ) Dust Mask ( ) Air-line Respirator Scott Air-pak Signature __ ________________ Please complete and return to guard