Document LKQ1ryr91YKQxvG2r6ZgNz1md

ABD00096769 CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A) SAMPLE N2 1315 Hazard: VCM Name ~ Department ) Lead ( ) Noise ( ) _______ /JsUkj/s ____________ S. S. # *ft Job Class Date ^ ^ ^ Shift ft Instrument Nof\ Time Noise Cell No____________ Airflow Start Stop . ____ am( )pmq^ 'y7 __ AMMTOK Analyst: 5-Analysis Date:. * - i - &a HaWrd VCM Noise Lead (Micrograms)l PEL: 1 PPM Over( ) TOT:. Under( ) PEL: 115dBA Per M3 TWA Exposure t PPM % of PEL Per M3 CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY DATA CARD (B) SAMPLE N 1315 A Hazard: VCM ()6 Lead! J Noise ( )--------------------------------- ( ) Date 1 7ft Time Clock (Lead Sampling Only) : IN: AM( ) PM( ) OUT:--------------------------------AMI ) PM( ) List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent. Area Time Area Time /]y / /'Zt---- List most likely causes of possible overexposure to the hazard. i ou Check respiratory protection you used: ( ) None { ) Dust Mask Signature Please complete