Document LpN2mYZwJQm73L3XYon950arQ
ABD00342730
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A)
SAMPLE N
0927A
Hazard: VCM < jty Name.
Department
Lead ( ) Noise { ) hj
S.S.
/ft Job Class
{ ) Date 3d7J Shift /)
Instrument No 3
Start
Stop
f____ Time ' <p\? -___ AM(1 ,) PM(>Q ' ? ? & { AM(^)PM{ )
Noise Cell No. Airflow______________________________
___________________
Analyst: t:
------------------------^
Hazard
VCM
Noise
Lead (Micrograms)!
.Analysis Date:
PEL: 1 PPM
Over { ' ) TOT:
Under ( ) PEL:
115dBA Per M3
TWA Exposure & . / PPM
% of PEL Per M3
. AfBD0(5342731 CONOCO^CHEMICALS - ABERDEEN PVC PLANT
bOSIMETRY DATA CARD (B)
N2sample
0927 *
Hazard: VCM </) Lead { ) Noise ( )--------------------------------- (
Date
Time Clock ( Lead Sampling Only) : IN: ^ AM( ) PM{)^) OUT:__2__ -__- AMt&CJ PM(.
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
Area
Time.
^ Area
i>rb
M '(
Time
.
if
List most likely causes of possible overexposure to the hazard.
1.
2.
3.
Check respiratory protection you used:
(^<^None
( ) Dust Mask
( ) Air-line Respirator
Scott Air-pak
Signature
Please complete and return to guard