Document NGL0LB1ZY4JV8kwdGrJ7p9zYD
ABD00096765
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A)
N2SAMPLE
1772
b
Hazard: VCM ( < Lead {
t
Name *
j
) Noise { j
____ S.S.
.( ) Date /////*&
Shift
)
Department
Job Class
----------------- --
Instrument No._Z.
Start
Stop
Time'^-7- AM( )PM^ p.'GZ- AM(^")PM(
Noise Cell NoAirflow_______________
___________________
Analyst:
Analysis Date: // ~ t
Ct
Hazara VCM Noise Lead (Micrograms)l
PEL: 1 PPM
Over ( ) TOT:.
Under ( ) PEL:
115dBA Per M3
TWA Exposure . 3 ppm *
% of PEL Per M3
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY DATA CARD (B)
N2SAMPLE . 1772
Hazard: VCM {},Lead ( ) Noise ( )---------------------------- { ) Date
^
Time Clock ( Lead Sampling Only) : IN: AM( ) PM( ) OUT: AM( ) PM( )
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
Area
Time
P/tfrxA______
Area
Time
/?x '3
/
List most likely causes of possible overexposure to the hazard.
1 keOooef/ Sj/ f/e/tfc,
2 __________________________________________________________
3____________________________________________________________
Check respiratory protection you used:
JtX^T None
( ) Dust Mask
( ) Air-line Respirator
Signature
iOqu^Xp&y^y
Q Please complete and return to guard
( ) Scott Air-pak