Document N0N8J2DqBQ1ed8rMENE7M2eD

(conoco) Conoco Chemicals Company A Division of Conoco Inc. 5 Greenway Plaza East P 0 Box 2197 Houston. TX 77001 February 9, 1981 Geraldine Goodscone Health Examinetics 709 Westchester Avenue Whirs Plains, NT 10604 Dear Geraldine: In order to meet the medical surveillance requirements of the CSKA Vinyl Chloride Standard, tvo physicals are required annually tor certain employ ees. However, the periodic examination requirements are limited in scooe in comparison to the normal exam concent offered all other employees. The requirements for this physical are listed in Attachment I. "his protocol currently applies to the Lake Charles VCM Plant and the Aberdeen Chemical Plant. The Aberdeen Plant also handles lead compounds and is subject to the CSKA Lead Standard. To meet the medical surveillance requirements of this standard periodic physicals are also required for some individuals. These requirements are also in Attachment I. The Baltimore Chemicals Plant does urinary phenols and blood chemi a six month interval for individuals exposed to benzene. In the p has been done with a local laboratory. However, we would now like this done by Mec-Path to maintain quality control and assure ccmpu patibility with our ether medical testing results. The tests retu Baltfmore are in Attachment IT. o do this testing, I think, it is obvious that a van would not be required, herefore, I would request that you make available the necessary c-rsonnal, nurses, technicians, etc., to accomplish this, at a mutually aaread uoon price. The testing at these locations would be scheduled similar to the testing at other times of the year. Please Let me know if you have cuescions cor.ce mir.a this subject. Sincerely, hemas u. Grumbles, Directo Industrie 1 Hygiene ai o Attachments Va cca 000000306 H i-i Attachment I SCREENING PROTOCOL FOR PERIODIC VCM EXAMINATIONS Occupational & Exposure Histories Physical Examination Blood Chemistries (see Attachment III) Hematology (see Attachment III) Complete Urinalysis w/Microscopic Health Status Report The periodic exam at Aberdeen will include all of the above as well as Blood Leads on identified individuals with Lead exposure. CCR 000000307 Attachment II 'SCREENING PROTOCOL rOR PERIODIC BENZENE EXAMINATIONS Interm Medical History Intern Exposure and Work History Laboratory Studies (to include blood work and urinary phenols -- see Attachment IV) CCR 000000308 - */ CD CHEMISTRY: CALCIUM PHOSPHORUS SUN CREATININE bun/creatinine URIC ACID GLUCOSE TOTAL PROTEIN ALBUMIN alsu-min/glosulin total bilirubin DIRECT BILIRUBIN SGOT SGRT' ALX PHOSPHATASE LHh ,'LESTERCL IRON SODIUM POTASSIUM chloride GG TP TRIGLYCERIDES MATGLOGY J WHITE BLOOD COUNT REG BLOOD COUNT HEMOGLOBIN HEMATOCRIT m C H (CALCULATED) MC'HC (CALCULATED) POLY LYMPHOCYTES MONOCYTES EOSINOPHILS BASOPHILS fpLA TELE" COL NT lRETICULOCYTES R,7 3.5 16,0 1.9 n. 5.1 101.0 7.3 a.a 1 .5 .99 .23 16.0 26.0 19.0 17 9.0 269,0 100,0 135,0 a.3 109,0 a. o 131.0 MG/DL MG/DL MG/OL MG/DL MG/OL MG/OL GM / DL GM/OL MG/OL MG/OL I.U./L I.U./L I.U./L I.U./L MG/DL MCG/QL mmql/L MmGl/L MVOL/L I.U./L MG/DL 6,3 9.91 15,3 50.3 31.2 30 . 9 3965 1903 99 I 359 S2 255,0 .3.0 THOUSAND MILLION GM/DL X UUG V X)CU. mm (5 5.0 CU, MM (30.23; X )CU. MM L 7 . 5 CU. MM c 5,72:) CU, MM ( 1.3X3 thousand V / 3.8 * 10.6 wG/OL a2.0 - 9, M G/0 L 9.0 - 25.0* MG/DL .7 - 1 ,6 mg/DL 2.7 - 5.3 mg/DL 65.0 - 130.0 MG/OL 5.2 - 3.1 G m/0 L 3.3 - 5.1 SM/CL .10- 1,90 MG/DL .00 - .CO MG/CL .0 - 95.0 I.U./L .0 - 60,0 I.U./L 10,0 -.95,0 I-.U./L 100,0 - 290,0 I.U./L 125.0 - 275.0 MG/OL 60.0 - 200.0 mcG/QL 135.0 - 1,96.0 mmgl/L 3.6 - 5,3 wYOL/L 97,0 - 109.0 MMCL/L ,0 - 65.0 I.U./L 50 . 0 - 22 0 . C MC/DL 9,1 - 11.5 THOU SANG 9,90 - 6.00 MIL lion 13,5 - 17.6 G m / 0 L 92,5 - 55,0 V 27,5 - 35.0 UUG X29.5 - 35,0 1 650 - 5 3 30 ---- 1-*! . 1 099 - 353 1 1-" 'VI 61 - 9P9 CU MV 9 0-9 23 CU V V 10 - 1 9 CU uu VI W VIM 19 0.0 - 9 9 0 .c T HQUSANO X.20 - 2.50 CCR 000000309 C R A * N 9,5 HOURS ArTER EATING. RESULT m * Y s r-L S E L THE INDIVIDUAL HAS PASTED 12 HOURS (TRIGLYCERIDES), RANGE BASED ON 75Th CUMULATIVE PERCENTILE. VALUE OUTSIDE reference range, CLINICAL LABORATORY TESTS PERFORMED By m-?i% ELEVATED ES ^ n nn JET\ *i C-3 1-5^ \iP*1 ?S !l r- d >Ls LJ l TEST TEST RESULT urinalysis; BLOOD PROTEIN GLUCOSE PH KETONES SPECIFIC GRAVITY APPEARANCE *3C R0C CASTS BACTERIA EPITHELIA crystals YEAST -S- ; L c 0 C C C'J L ^ 5 U11C =*a jo. NEGATIVE NEGATIVE NEGATIVE 6 NEGATIVE 1.018 CLEAR NEGATIVE NEGATIVE NEGATIVE negative NEGATIVE negative NEGATIVE uO i? .y Attachment III ?? E C E /l/ o 3 r '/ REFERENCE RANGE til U) HI NEGATIVE CP T3 A C NEGATIVE OR T3i c negative -cr tpa a-s NEGATIVE OP T3A 1.001 - 1,035 0 - 5 /'UPP 20 - A-3" NEGATIVE * V 1L U F OUTSIDE REFERENCE 3 ANGE . CCR 000000310 vCtachmenc 'IV' 10y0 SOUTH PINE PONCA CITY, GKLA. 74631 aOCAeTlv= D 4/24/30 =P;O*RtT; 0 -A3 NQ. 4/29/39 167346 LAS "5T _ i _1 CONOCO PHYSICAL COMPLETE BLOOD COUNT UHITE BLOOD CELL COUNT ERED BLOOD CELL COUNT----- HEMOGLOBIN-------------------------------------HEMATOCRIT------------------------------------ * t*ICH------------------------------------- ----------------- [ MCV--------------------------------------------------- * MCHC--------------- -- -------------------------------1 DIFFERENTIAL ! SEGMENTED NEUTROPHILS--------------! BANDS-----------------------------------------------j LYMPHOCYTES------------------------------------ j MONOCYTES---------------------------------------- ! :EQSINGPHILS- BASQPHILS------ OBSERVATIONS RETICULOCYTE COUNT-- :PLATELET COUNT------------- BILIRUBIN-TOTAL----------- URINARY PHENOL------------- i CORRECTED TO SP.G. OF 1.624- - URINALYSIS ROUTINE REACTION C PH 3-------------------------------- jSPECIFIC GRAVITY-------------------------- ALBUMIN----------------------------------------------[ SUGAR.-------------------------------------------------- 1 ; ACETONE----------------------------------------------1 OCCULT BLOOD-----------------------------------j MICROSCOPIC------------------------------------ =iESUUTc. NORMALS 8800I 4.50 1 12.7 36 28 801 3S 4,800-13,303 /CMM M:4.6-6.2,F:4.2-5.4 M/CMf Ms 14-Id,F: 12-16 GM/DL M:42-52,F:37-47 VGLSX 27-32 UUG 32-97 MICRONS 32-36 % 66 si-67 4 3-5 7 27 21-357 wO 4-87 0 2-4% 0 0-17 ---------- > RBC MORPHOLOGY NORMA1 1.1 3.5-2.37 31 *1300 153-450 K/CMM 1.7 0-1.5 MG/DL S 19 IND. EXP. LESS THAN 75 7 1-912 NEG NEG NEG NEG ---------- > 0-6 ACID, 3-14 1.893 - 1.333 CL YELLOU NEG ALKALINE PHYSICIAN'S COPY CCR 000000311