Document NwZ7nY6JEe9OXNxMZjvavLJw
received
APR 2 0 1987
M.4- PATEL
ATTACHMENT A
ASiESTOS INS.CATION hLMOV AND DlSPOSnl SUPERVISOR'S REPORT
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LOCATION OF JOR:
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2. OATE(S) JOB PERFORMED:
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3. DESCRIPTION OF JOB:
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*. AMOUNT OF ASBESTOS INSULATION INVOLVED:
A*.
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5. LOCATION ASBESTOS INSULATION DISPOSED______________________________________
6. EMPLOYEES INVOLVED: (if more spaces are needed use back of page)
C/oy/^r ^
9 Kt7______________________________
C..E.fe/r foy<*
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6TC* / U hhjLjrcl <r/9?Q______________________________
X.kC..Alike^__ g V?s ________________
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7. TYPE OF RESPIRATORY EQUIPMENT USED:
JuJti.64UL. /? S/2.,jLCAjLa}___
1~Z38. CHECK IF INSULATION NOT WETTED DOWN:
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SUPERVISOR: W, C&CfYUs<J DATE:
UCC 019219
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RECEIVED. j\PR 2 0 19871
M. ft- PKtEL
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J .> PP ds <d / jy^ UCC 019220
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RECEIVED APR 0 6 1987
ASBESTOS INSULATION REMOVAL ANO OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
M. A. PATEL
(LOCATION OF JOB:)
JOB SUPERVISOR:
PLANT: .T/y AREA:________ ZONE:BLOG: /3/ UNIT:
................................ 0ATE J0B PERFORMED:
V-/ J ,?...........
DESCRIPTION OF JOB:
/fa
_________________________________________________
LOCATION ASBESTOS INSULATION OISPOSED: At*.-.*.
9 ,,
r, -As, *
ESTIMATED FEET REMOVED:j?_ ________ .LINEAL FEET ......... ....................... .... SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): 0 /^ G> <,
.. Q A. Jdr*
Plant 5i1 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure Installed?
Use of Glove Bag feasible?
Glove Bag used?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMME NT S:
..., ,, >JL U/ A/______ 6hL_____ Axi r C. .
YES NO
v
tS __________
NA
~ _____
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
____ Telephone :
1791P
UCC 019221
RECEIVED
APR 0 61987
( A pATEL
ASBESTOS INSULATION removal and disposal CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
PLANT: 5//_ AREAZONE:_________ BLOG: sjUNIT:
JOB SUPERVISOR: /CJr Sc/Mf/C //l
_________ DATE JOB PERFORMED: J S~7
DESCRIPTION OF JOB: &
A6fcsToS
oL'T/^_________________
LOCATION ASBESTOS INSULATION OISPOSED: ______________________
ESTIMATED FEET REMOVED: *
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): _____
t\// VoAjQSo'J
df, fo cicwacCMS-/
") Square feet wr ~S?A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Votective clothing used - boots, head cover, gloves, coveralls ^ .Alter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months
YES NO N/A
JX
____ ____
LS
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019222
ASBESTOS INSULATION REMOVAL AND DISPOSAL
received
( CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
/ yMAR 3 11987
(LOCATION OF JOB:) PLANT: S/h AREAZONE:________ BLDG: sjmUH.IFATEL JOB SUPERVISOR: /Qr St/Sf/C iu/________ DATE JOB PERFORMED: 3 ^
DESCRIPTION OF JOB: &
A6 /A/SClLl?**,
LOCATION ASBESTOS INSULATION OISPOSED: ___________________________________________ ______________
ESTIMATED FEET REMOVEO: ________________
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
>S*J________
^`/>
LINEAL FEET 3S'r//^>A/u Kaa/ytJSQUARE FEET
' ________
!
S*
_______________________
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
S? / ____
S
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used ( rotective clothing used - boots, head cover, gloves, coveralls v outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
7s
~tS
S
S
Plastic used on floor and over equipment
Area vacuumed
_ Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
_ lS __
_ Js;
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
is
COMMENTS:
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019223
Telephone :
1791P
RECElVbD MAY 0 51987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S report
M. A-PATEL (LOCATION OF JOB:)
PLANT S7i- AREA-,'
ZONE:_________ BLOG:UNIT:
JOB SUPERVISOR:
DATE JOB PERFORMED:
C/-J? <7-
DESCRIPTION OF JOB:
o ^ /?* C A
LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED:
gO
..a /A.... . yA2i^.. sLtt?!*.-------- jC-s** aL LINEAL FEET
* > <L SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
X Xi c/ /
n.&.C/^r
, ft. t Sv ct.sJ^rsiJ___ _________.................-/>-
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
i-/
Negative pressure enclosure installed? Use of Glove Bag feasible?
____
is y
Barrier tape used
Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
____
Outer coverall vacuumed before removing
__ ls_
Outer coverall removed before leaving barricaded area
__ o
Plastic used on floor and over equipment
L/
Area vacuumed Employee showered before reapplying street clothes
o'
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
U
Employee(s) monitored by Industrial Hygiene
j/
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months
-xZ
XX.
IX
COMMENTS:
LasAy
^ At-^/X-*.. X tX
czzlxlJ.____________ nn&X
___________ _
Telephone :
{ (Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019224
1791P
received
MAY 0 51987
M. A. PATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
p6 * fa)
(LOCATION OF JOB:) PLANTS/L- AREA- '
_ ZONE:________ BLOG:________ UNIT:
JOB SUPERVISOR:
F*
_________________ DATE JOB PERFORMED: <^- JT-F7
DESCRIPTION OF JOB:
/aj dAc 'rr ^ DnckC*)
LOCATION ASBESTOS INSULATION DISPOSED:
f ^ . Ja^.A F/Lj.
ESTIMATED FEET REMOVED:
StOLINEAL FEET _______________________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): /7_ r
__________
r /Tz
FIk. Stvo^ A SS
___S' A FT.SA,
_________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: /L* ^ fZA .9 / J? JW
f. o
YES JZ,
NO
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u
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JZ_
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N/A
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(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019225
Telephone
1791P
RECEIVED
MAY 0 5 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL
4.
(LOCATION OF JOB:) PLANT^'/'Z AREA-
_ ZONE:________ BLDG: ________
UNIT:
JOB SUPERVISOR:
Z ~DATE JOB PERFORMED:
DESCRIPTION OF JOS:
Y^
^
LOCATION ASBESTOS INSULATION DISPOSED: ____ffjj.i /,,__________ ///
27- r7 ---------
ESTIMATED FEET REMOVED:
<9/7LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): 0/6
____ ___________________________
SQUARE FEET
_ .SZ---------
________
I
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
Z Z
jZ
^Z
z
__
_
_
_
/
S.
__________________Telephone :
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019226
RECEIVED
MAY 0 5 1987
M. A. PATEL
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
PLANT.X^ AREA*/
' ZONE:
BLDG:_________ UNIT:
JOB SUPERVISOR:
DATE JOB PERFORMEO:
9- ? ?
DESCRIPTION OF JOB: Q7/*/
S'& a
-vt-~ f"
&/V
.
LOCATION ASBESTOS INSULATION OISPOSED: farj//r
jT'JS
ESTIMATED FEET REMOVED:
60
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): J?. rT.
t?f. S'ASa t/cj SHIPS'
_____ $.
/, _______
c. r`/^sL<jsc-.
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
L/
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used
y
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
yL.
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes
y
</ j/
Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
JZ
J/
Type of respirator used: Half-face AO R57-A (HEPA)
y
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: ^S ~/a Sc S
^ A ,y
L ( jS / <'>r ^XT.'ls-tr I--
(Form Filed By:) Return filled out form (original) after completion
y
>-y-
Telephone
of the job to: M. A. Patel - Bldg. 701/330 UCC 019227
NO N/A
y
1791P
RECEIVED MAY 05 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL
(LOCATION OF JOB:)
PLANT
AREA', '
/Ot> <'*-(>}
__ ZONE:_________ BLDG:_________ UNIT:
JOB SUPERVISOR: ~iPf?
___________________ DATE JOB PERFORMED:
Z?
DESCRIPTION OF JOB: jT/ ^ ^
sis'Me#
r? ^
r r>s^____/?a c A- Cl )
LOCATION ASBESTOS INSULATION OISPOSED: 60/S SiS-S*
J /,
ESTIMATED FEET REMOVED:
if?/)LINEAL FEET ____________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): j; A
_________
x -f
.S'
C. . r
`-~
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used
U
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
y
y
Area vacuumed
u
Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
u
y 17
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
y
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
ty
COMMENTS:
S' y~
~ss S
z. .Z3r--L 0.. y //
<3 ' y
0(y s r /~Hrt y
.y.JLTLJZ
7* 7* (y>
Telephone
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019228
NO h/A
u
y
iy
1791P
RECEIVED
MAY 0 5 1987
M. A. PAT&
ASBESTOS INSULATION REMOVAL AWO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
PLANT.AREA' '
_ ZONE:_________ BLOG:_________ UNIT:
JOB SUPERVISOR:^^/^^.^ ,OATE JOB PERFORMED:
DESCRIPTION OF JOB:
^ ? L vO /oS>
'
'o'XJ 0 As
LOCATION ASBESTOS INSULATION DISPOSED:
//=
sf'JZ_________
ESTIMATED FEET REMOVED: LINEAL FEET _SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): /?. T A G~s>
'
C~. S.
3r 4? "*-s ft <___ jZjc,___ a Up<T-P-f ---------------------------------------
I
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 375,0)
Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible?
___ ____
J> t/
Barrier tape used
Warning signs used ^otective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
-tr
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
^_ _
Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only)
jy _u_
i/
-- ____ ____
-- ____
Employee!s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
12. _ _
Employee trained for OSHA Asbestos Standard In last 12 months
ZCOMMENTS:
^
/A*/___ l^
v : r/.'el
y*rt, A________/
4? /?.___ Cfap.* )Telephone :
-LZ ____ dr?------- /v^C/tiS
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019229
1791P
"
RECEIVED
MAY 051987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S report
M. A. PATEL
;Poc^r
(LOCATION OF JOB:) PLANTi^^i-- AREA-.'
__ ZONE:________ BLOG:________ UNIT:
JOB SUPERVISOR:
P
________________ DATE JOB PERFORMED:
,3 / - fV
DESCRIPTION OF JOB:
4/* t .j A s. h e
^ r g-v a su CJi,i/, Vv L
LOCATION ASBESTOS INSULATION DISPOSED: ^,,/A
1-m ^ J f.'LL
ESTIMATED FEET REMOVED:
90LINEAL FEET____________________________________ __ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): 8 J~ A fro S //
C /?. C
S', # /r r<j ff,
$ Jr. S/br>cla r 435
_________________________________________
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed? Use of Glove Bag feasible?
-- 1/
Barrier tape used Warning signs used
J./ cs~
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
U ly Is
L
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping) Barricades down (after clean-up only)
1/ LS
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months
\S_
COMMENTS:
d.'J- <Z2zjr.
M- .<______ At'**
jff. 1
SU"
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
Telephone
1791P
UCC 019230
RECEIVED
MAY 05 1987
M. A. PATEL
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
(LOCATION OF JOB:)
PLANT, v
AREP-
_ ZONE:_________ BLDG:_________ UNIT:
JOB SUPERVISOR:
____________ DATE JOB PERFORMED: V- ?o -
DESCRIPTION OF JOB: __ b
r^
^9
LOCATION ASBESTOS INSULATION DISPOSED:
A--(p
ESTIMATED FEET REMOVED:
n
EMPLOYEES INVOLVEO IN ACTUAL J08(S):
LINEAL FEET
<T R /~J
12. _ _____ SQUARE FEET
Jc.
YES
Plant 511 Hygienist notified (M, A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used
IS 1/
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
_uni I_s
Outer coverall removed before leaving barricaded area
J/
Plastic used on floor and over equipment
Area vacuumed Employee showered before reapplying street clothes
tS
Proper clean-up (area housekeeping)
_6_
Barricades down (after clean-up only)
Cmployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
4^
COMMENTS: ), q/
f-_____ /?A ^ n ^ e..__________ y_______________/) tC L f3* i>/?
&A
ASxJ Telephone
(Form Filed By:} Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019231
NO JkL
N/A
-Li
1791P
received. APR 'i 0 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOtffcrtofyW1 JOB:)
PLANTAREA- '.
_ ZONE:BLOG: ?
UNIT:
JOB SUPERVISOR: ^ 3^.^ DATE JOB PERFORMED: ?-//,,
_______________________________
DESCRIPTION OF JOB: ___ SVr,yo______ /--t*
LOCATION ASBESTOS INSULATION DISPOSED:
, /A
ac/
/3J.
___________________
ESTIMATED FEET REMOVED: __________g2LINEAL FEET _____________________
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
T J fr~> J;__________
r /?
/f :5>a da
__
v*_________
SQUARE FEET ,Vu
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
*
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure)
YES NO N/A
t/
-teL J^L ,.uL LS
iy i/ z jZ
z
Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019232
1791P
received
APR 2 01987: M. A. PATEL
ASBESTOS INSULATION REMOVAL AND OISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
,.
(LOCATION OF JOB:)
PLANT
AREA''
_ ZONE:_________ BLOG: ?
UNIT:
JOB SUPERVISOR:
P.DATE JOB PERFORMED:
DESCRIPTION OF JOB:
Jsleo/** /a/
LOCATION ASBESTOS INSULATION OISPOSED:
(r'fsSf
y-yjrSQOB&..
ESTIMATED FEET REMOVED:
p
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
JT4
^f
_________
S'tf* .Z/T.S A
____
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
1/ J/
JZ
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
jy
JZL tX
Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only)
jZ -Z
Einployee(s) monitored by Industrial Hygiene
Type of respirator used: Half-face AO R57-A (HEPA)
jX
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: l-A____ /A..J.J.___ S/atAs ...
At/
/y ? q * A/'jt_____stA/-.____ ______________ /*> /______ csj.
V
lA f<v C/?iky ?'. r i~s
tTe1lephone
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel -- Bldg. 701/330
UCC 019233
NO N/A !/' ____ 1/
1 791P
received
&PR 2 01987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
(LOCaViiSn^^IOB:)
PLANT.^JL. AREP\
_ ZONE: A/07~ BLDG:
UNIT:
JOB SUPERVISOR: 7r/r SJ)/nfo/UJDATE JOB PERFORMED:
H~ l
DESCRIPTION OF JOB: SfalP Mltr5f~*S //U^AT/^ju /*/ SfiUc' PtH-
LOCATION ASBESTOS INSULATION DISPOSED:
AIT-
7
ESTIMATED FEET REMOVED: /pLINEAL FEET _______________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
/C/ C/l oycJi
J~A
. _____________ _:
_________________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES _N0 N^A
JL^
2=_ (Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019234
Telephone :
1791P
RECEIVED
fVpR20 1987
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
. ( w. PATEL
s,'r/<e. /V /f^<- K
(LOCATION OF JOB:)
PLANT.AREA'
_ ZONE:_________ BLDG: 9
UNIT:
JOB SUPERVISOR: ^3
______________________ DATE JOB PERFORMED:
c/~
DESCRIPTION OF JOB: SSr.-p
Jt a /
9
LOCATION ASBESTOS INSULATION OISPOSEO: faj/P
K'JA
ESTIMATED FEET REMOVED:
3&LINEAL FEET ________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): /IJ' 4 6 otr//_ _ _ _ _ _
___________________
_____
/ t StJoc/ *>KAS\
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
r Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
\
Outer coverall removed before leavingbarricaded area
Plastic used on floor andover equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Einployee(s) monitored by IndustrialHygiene
K ____ ____ ____ \S t/ u uL x/ l/
L/
_l
/y ^ t/
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
l/
Supplied Air-Full Face - Positive Pressure
____
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: ^//As a ^ A'ls______frA, ^-------------------------------------
a i/______ c/ f ,--------------------------------------------------------
______________________ Telephone :
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019235
1791P
RECE APR 2 01987
ASBESTOS INSULATION REMOVAL AND OISFOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL
(LOCATION OF JOB:)
S<X- 9PLANT:
AREA:_________ ZONE:_________ BLDG:
UNIT:
JOB SUPERVISOR: /?/? fa*,/,,DATE JOB PERFORMED:
DESCRIPTION OF JOB: Sydy
,, /,? S
LOCATION ASBESTOS INSULATION DISPOSED: ft,//'
b /A t n--, S'-J. J
ESTIMATED FEET REMOVED: __________ _______________LINEAL FEET__________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): / &.
Rrf A 6~ ns Jr'-
__ ^______________
^f
r>- .-v r
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
YES JJO
jy; ___
Negative pressure Anrlflm?
Negative prtt^ure enclosure Installed?
Use of Glove Bag feasible? /
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed Employee showered before reapplying street clothes
X .*
Proper clean-up (area housekeeping)
.<
____
___ ___
___
kZL. mlL jA.
^
y
jyf y
ML1 jfcl ^
JyL.
___
____
____ ___
Barricades down (after clean-up only) Employee(s) monitored by Industrial Hyglencr
y
Type of respirator used:
Half-face AO R57-A (HEPA)
.
Half-face Willson R-12 (HEPA)
;
Supplied Air-Ful1 Face - Positive Pressure
Employee trained for respirator In last 6 months
(It not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: U/h r
-SLlsL___ 7*
/<?
U-L-
______ h/A/C. & ts r
1.3*; (Form Filed By:) Return filled out form (original) after completion
y __
Telephone :
of the job to: M. A. Patel - Bldg. 701/330 UCC 019236
I791P
RECEIVED
APR 2 01987
M. A. EM0-
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANTJT/^ AREA
_ ZONE: _________ BLDG:_'5''^'5'"'' UNIT:
JOB SUPERVISOR: DESCRIPTION OF JOB:
____________________ DATE JOB PERFORMED: _ V'/3- S?
/S*
A- - V
LOCATION ASBESTOS INSULATION OISPOSED:
ESTIMATED FEET REMOVED:
Jl/7
`-//r_______________ /A/) d S/J-O.
LINEAL FEET ____________________
SQUARE FEET
EMPLOYEES INVOLVEO IN ACTUAL JOB(S):
fi fii__ Z___________________
_
fit
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES
___ t ____ ___ j/ is IS
NO
JZ ____ ____
N/A
____ ____ ____ ____
-U--
ML1
cS
(/ u" ____
___ ___
------
____
____ ___ ____ Js
------
_____
___ ____ ____
..is
JZ
jZ ____ ____ Z
S. f
______________________Telephone :
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019237
RECEIVED
ASBESTOS INSULATION REMOVAL AND DISPOSAL
APR 2 0 1987
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL
s '1 fits'k
(LOCATION OF JOB:)
PLANT.S~//L AREAZONE:_________ BLOG: /it UNIT:
JOB SUPERVISOR: At Cvy// '/(
_________ DATE JOB PERFORMED: V-/J -?f 7
DESCRIPTION OF JOB: tZ/if ^ 5 S'T'o S
/jJSC/MT/a*s "
LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED:
/-*" ___
(t'-i tf At 7"
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): __________________
CA zrjvAvv
A3. ZT A Cost-/
S^oda/A ss
YES N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
Area vacuumed Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
^
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure
--
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
'
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
______________Telephone :
:)
UCC 019238
1791P
RECEIVED
APR 2 0 1987
M. A. PATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
//yyt
(LOCATION OF JOB:) JOB SUPERVISOR:
PLANT./75L AREA- '
_ ZONE:_________ BLOG: %
{? _________________OArE JOB PERFORMED:
UNIT: >
DESCRIPTION OF JOB:
JtAre/oS
vW
^
?
LOCATION ASBESTOS INSULATION DISPOSED:
jL^d A'JJ,
ESTIMATED FEET REMOVED: LI NEAL FEET ______________________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): rf, J,
f
fK Sf^-ruJ^rASS________
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
--Jtf -----
Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
----___
UML
-kl
-JL
_Z
M ML
is
-----
___ ___ ___ ----___
-----___ -----
___ -----
JtL ____ --
Type of respirator used: Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months
-ML ___ jM_ _
___
COMMENTS:
^.... ^
-^lasCs/qSvr.
,tu / ___________
--
TAiOr-t
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
Telephone : 4^ ^ (> 1791P
UCC 019239'
RECEIVED
(
APR 2 o 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
/ M. A. PATEL
VACATION OF JOB:)
PLANT:
/pL /-g- AREA:________ ZONE:________ BLDG: 3(e g
UNIT:
JOB SUPERVISOR: 7f, ' <f,
DESCRIPTION OF JOB:
Mk
___________ DATE JOB PERFORMED:
'
sdxTeo/c^ J/>u 7s -, h
LOCATION ASBESTOS INSULATION DISPOSED:
Qc, ! A
ESTIMATED FEET REMOVED:
q fLINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
A
/?> A- A ^ -v- J/
SQUARE FEET
s /*/). ,Tr
YES _NO
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
____ ____ /
____ ' ____
Negative pressure enclosure installed?
____ ____
Use of Glove Bag feasible?
____ ____
Barrier tape used
____ ____
Warning signs used Protective clothing used - boots, head cover, gloves, coveralls ( iter coverall vacuumed before removing
____ jzi ____
____ ____
Outer coverall removed before leaving barricaded area
____ ____
Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping)
____ ____ ____ ____
____ ____ ____ ____
Barricades down (after clean-up only)
____ ____
Employee(s) monitored by Industrial Hygiene
____ ____
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
____ ____ ____
____
(If not using. Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
____
COMMENTS:
_______lV ^ S /'/___ ____ 3
P/ac /rS
____
N/A ____ ____ ____ ____ ____
____ ____ ____ ____ ____
____
__.3. .
____
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019240
Telephone :
1791P
RECEIVED
APR 2 01987
\ M. A. PATEL
ASBESTOS INSULATION removal and disposal
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT -----------------------1---------------------------------------------------------------------------
(LOCATION OF JOB:) PLANT\S/t- AREA:__________ ZONE:_________ BLDG: /7.
JOB SUPERVISOR: AT
(Toy/y^ADATE JOB PERFORMED:
UNIT: 7_________
DESCRIPTION OF JOB: SJ/hfi
A-.dcttoS
S/s*
LOCATION ASBESTOS INSULATION DISPOSED: G^t / />/ T
____________________ S-ri/Vc/fyLL
ESTIMATED FEET REMOVED:
/ S~LINEAL FEET ____________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): _______________ ________________
C/cvc/cM^__________
S&__ /G/~ S&s-'t_________
_____________________
r,k s*/ik/ArAJS'______
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used . Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES ^ ____ ____ L
NO ____
^
___
N/A
w ztC--
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019241
Telephone :
1 791P
received
APR 2 01987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
w M. A- PAJE. ' (LOCATION Of JOB:)
JOB SUPERVISOR: If
PLANT:2>yi AREA:_________ ZONE:_________
So*.'</<?j/su' DATE JOB PERFORMED:
BLDG:_________
C
UNIT: ___________
DESCRIPTION OF JOB: S^iP gsUlTOQ //L'SuLT/ca; /V STA-t/T /?//./
LOCATION ASBESTOS INSULATION DISPOSED: Gdlf /H77
_____________________________
ESTIMATED FEET REMOVED: ^_0LINEAL FEET _____________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
'S.h stwiPStt! ______ 3SJf
/.//
?,oS)
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
____________________________ YES NO N/A
L-
c-
^ (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019242
Telephone :
received
APR 2 01987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATB.
(LOCATION OF JOB:)
PLANT: S~/L AREA:
JOB SUPERVISOR: fie Ova/cA
DESCRIPTION OF JOB:
Aslcj>705
ZONE:
BLDG:
DATE JOB PERFORMED:
/A/S u/aT/OaS
L
UNIT: X2
LOCATION ASBESTOS INSULATION OISPOSED: 'AtT 4 U/<r>F' PiA/' flfoe/C
ESTIMATED FEET REMOVED: __________CZT......... __ LINEAL FEET_______________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL OOB(S): __________
_f_t___i, f
Isfl
Sfi. Ask//oA?
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
YES iX
NO
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
j_y
Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
IS'
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping)
L^ U
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Ls
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
U' S' ____
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: /f
JllA____
_____ fafAi_______l</AiA/r^/
^2/c/o
-j.%
A aj J
y /-(TSi Si 4/4s
____________ Telephone
N/A _
1 (Form Filed BByy::) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019243
1791P
received
/ APR 0 61987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
( M. K PATEL
(LOCATION OF JOB:) PLANT: S'/1 AREA: 2.
ZONE:__________ BLDG:_________ UNIT:
JOB SUPERVISOR:DATE JOB PERFORMED: 9 J- 3
DESCRIPTION OF JOB: S4A)P
/MSuUt,* ' ^/cJ/jCA-L P/tt
LOCATION ASBESTOS INSULATION DISPOSED: ; ESTIMATED FEET REMOVED: S2FT______________ LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
vfrvw______
_________________
Ztf He.lsfcus
$0S2>
!
____________________________
YES _N0 N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
, ____
L*' ___
Negative pressure enclosure installed? Use of Glove Bag feasible?
____ ___
Barrier tape used
Warning signs used Protective clothing used - boots, head cover, gloves, coveralls ^uter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
LS'
L/ ___
___ nH
__
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months
LX
ly
COMMENTS:
/'
Telephone :
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019244
1791P
RECEIVED
APR 061987
ASBESTOS INSULATION REMOVAL AND DISPOSAL
M. A. PATEL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
^LOCATION OF JOB:)
PLANT:s57J-_ AREA:CT~
ZONE:_________ BLOG: ^ 1
UNIT:
JOB SUPERVISOR: /? E
_______________ DATE JOB PERFORMED:
7
DESCRIPTION OF JOB: SffiiP ' ASpVo',, /rSq i/lTu*- ~ P/PA' PAcA ^<7
LOCATION ASBESTOS INSULATION DISPOSED: fulf M f /Aajs/ P/ A A
ESTIMATED FEET REMOVED: lOLINEAL FEET_SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
C./b Chddc,ts,*/
7/ 77_________________________
____________________________
CTd/j/H/J -
3C
Msi/z/uk
jaLD.
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed?
Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls ^ ~jter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
_"7T -- --
~z^
___ ___
Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used: Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
t/ (Form Filled By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019245
Telephone :
1791P
RECEIVED
APR 0 6 1987
M. A. PATEL
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
1/
luO (LOCATION OF JOB:)
PLANT:S/JL_ AREA-:_________ ZONE:_________ BLOG^i./^/.JVNIT:
JOB SUPERVISOR:
SCuiJt/Z/Ta/J___________DATE JOB PERFORMED:
3 -3/- 2 7
DESCRIPTION OF JOB: Sffitfi MleSToi
M AUl-_____
LOCATION ASBESTOS INSULATION DISPOSED: (re// f Ar7^
ESTIMATED FEET REMOVED: /T~
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ___
ShrnPiQ/j
2ML.
/// AUs j&
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure Installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls (f ar coverall vacuumed before removing
YES NO N/A
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
(F6rm Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019246
Telephone :
1791P
RECEIVED
ASBESTOS INSULATION REMOVAL AND DISPOSAL
/vPR 0 61987 CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
v_( M. A. PATEL
(LOCATION OF JOB:) PLANT:S~/JL. AREA:_________ ZONE:_________ BLOGy^t-/^/..JVNIT:
JOB SUPERVISOR:/^ SujJtr//#'./DATE JOB PERFORMED:
3 - J/- S 7
DESCRIPTION OF JOB: Sfclfl foUsTo* /*SLyf/Q+l______ jaUjL--&~.
LOCATION ASBESTOS INSULATION OISPOSED: Cr<j/f At?' /A As</Z ________________
ESTIMATED FEET REMOVED: / LINEAL FEET SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ___
ay SftnfitoK*____ JMlZ.
/// AiZ js/s
ML.
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used J^otectlve clothing used - boots, head cover, gloves, coveralls >-dter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
jS kl
V.
(Ftvfrrmm FFiil1ed By:)
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019247
Telephone
1791P
RECEIVED
APR 0 6 1987
A PATEL
ASBESTOS INSULATION removal and disposal CONSTRUCTION/SERVICES OEPARTMENT SUPERVISOR'S REPORT
/ (LOCATION OF JOB:)
PLANT: r//
AREA-:AhSf' ZONE:_________ BLOG:
&/Y}c-
UNIT:
JOB SUPERVISOR: /~(T SU/idct-L*/____________DATE JOB PERFORMED: '3-j/-^ >_________
DESCRIPTION OF JOB: Tfil/n
4 *<"//.
___________________________
LOCATION ASBESTOS INSULATION DISPOSED:
WT"
ESTIMATED FEET REMOVED: LINEAL FEET_SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
____________________________
s.l <3, fb
sK'c ______ C-JcAj Jc^J //J
____________________________________
____________________________ ______
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls (C 3r coverall vacuumed before removing
YES NO N/A
.u
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
____________________________________________
Xm
^ (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019248
Telephon~
RECEIVED
APR 061987
___
M. A- PATEL
ASBESTOS INSULATION REMOVAL AND OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
-------------------------------------------------------------------
(LOCATION OF JOB:)
PLANT: >T/jZ AREA: ta .. / ZONE:_________ BLOG:
/ 9 UNIT:
JOB SUPERVISOR: Ft
DATE JOB PERFORMED:
/ S'y
DESCRIPTION OF JOB: __ Zjt A ^ Sav/o 7/`s?>/
LOCATION ASBESTOS INSULATION DISPOSED: Q,/f
l-Z///
ESTIMATED FEET REMOVED: LINEAL FEET SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
n(1#
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
C -ter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:___ /%Jr j,___ansA______ S'/rs?A._____A/v____
YES NO JZL / ____
N/A
_ ____ _ -4^
LS' -jZ
JZ JZ jZ --
____
_
____ ____ --
-Z ____ ____
____
jz ____
jZ ____
_
____
jLdi__ J/n W
(Form hFiilleedi By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019249
Telephone :
1791P
ASBESTOS INSULATION REMOVAL AND DISPOSAL
Received
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
mar 3 1 1987
(LOCATION OF JOB:)
PLANT:57V AREA: 'j
ZONE:________ BLOG:____M. A.
_______
JOB SUPERVISOR:
"TL
(g_______DATE JOB PERFORMED:
%- 'll-in_____
DESCRIPTION OF JOB: Amnug dfSWgvVoi.
4oR '->c.\\XhQf_____ "
LOCATION ASBESTOS INSULATION DISPOSED:_____________________________________________
ESTIMATED FEET REMOVED: LINEAL FEET________________________________ _________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
7S(,Z
'JX,
. 7Z.3________________________________________ __________________ 7-
>gV
_
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A :z
vT
/
(Form Filed By:)
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
Telephone :
1791P
UCC 019250
RECEIVED
APR 0 61987
ASBESTOS INSULATION REMOVAL AND DISPOSAL
, M. A. PATEL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
--------------------------------------------------------------------------------
{LOCATION OF JOB:) PLANT: 5~/2 AREA: jy, g / ZONE:__________ BLDG:UNIT:
JOB SUPERVISOR: /^)= S^
DATE JOB PERFORMED:
DESCRIPTION OF JOB:
n o ^rr/ r ^r?/au/a fl'n
LOCATION ASBESTOS INSULATION OISPOSED: g.,,t'x?
7., / V-.J
3)2.7/ Vf y w___ fha-jsa.-- -, //
ESTIMATED FEET REMOVED: LINEAL FEET/ l /J
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): SR
u) J/? kti sip &___ _ fiJt dvtf/T rc/s_____
Q.R. A/*
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls ( ter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
____
^ ____
^_
__^
f r~.
? ? -//--A, ./C, - .CL-
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019251
Telephoned
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
RECEIVED
(LOCATION OF JOB:)
PLANTr5/^ AREA:
/eOXict ZONE:_________ BLDG: M
JOB SUPERVISOR: ^/T Sc{fi/c7e/fJs\ a, J
DATE JOB PERFORMED: J-Jc-3-^7- ?
DESCRIPTION OF JOB: &Mt'P
LOCATION ASBESTOS INSULATION OISPOSED:
/S'ESTIMATED FEET REMOVED:
'
frU // MT
LINEAL FEET
_________________
z*7/ ZL
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): _
Xf- ___r 3fo>
Ltt folM*
$q3-
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used: Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
(Fonn Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019252
Telephone :
1791P
RECEIVED
APR 061987
ASBESTOS INSULATION REMOVAL AND DISPOSAL
M. A. PATE
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
l (LOCATION OF JOB:)
PLANT: S~/Z AREA:
JOB SUPERVISOR: AV" SiJSsc/sr? /ajuJ
ZONE: _____ BLDG:^_2_ UNIT:
DATE JOB PERFORMED:
3/j(o~ / >
DESCRIPTION OF JOB: LOCATION ASBESTOS INSULATION DISPOSED: ESTIMATED FEET REMOVED:
Cul-f___ /rtf'
LINEAL FEET
x^/Z-d.
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
/b>.
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used 'rotective clothing used - boots, head cover, gloves, coveralls
,ter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
IS SLS Is LS CS
Is JS
Is
tS S
<
____
VsUS'
------------------------------------------------------------7J--5------ J-------------------------------------------------------------------------------------Telephone
(Form4FFiiled By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019253
1791P
received
APR 0 61987 M. A. PATEL
ASBESTOS INSULATION REMOVAL AND OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
-------------------------------------------------------------------
(LOCATION OF JOB:)
PLANT:
AREA: . ..
JOB SUPERVISOR: FE FiunaU'. r/n S
DESCRIPTION OF JOB:
/r' !.nsu, \
LOCATION ASBESTOS INSULA/lON DISPOSED:
" ZONE:_________ BLOG: ' :> / UNIT: DATE JOB PERFORMED: ,V/ )/,, /<? 7 i " S'f'fA/n //edfa /F/ /qA/as
MfinnTk,,* JANa /=//
ESTIMATED FEET REMOVED: LINEAL FEET SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): u)A .T#A ,i z a
_______________________ _
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Q Yotective clothing used - boots, head cover, gloves, coveralls ^ uter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
Ls'
jkr'
Ls
jkr"
Is'
\s^
* /T/
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019254
Telephone:
ASBESTOS INSULATION REMOVAL ANO DISPOSAL COHSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
MAR 3 1 1987
(LOCATION OF JOB:)
PLANT:
AREA: U
ZONE:
BLDG:^2r
JOB SUPERVISOR:_^J^_jB
_____DATE JOB PERFORMED: .g.-JL4,-.-g7.
DESCRIPTION OF JOB: frpjv\fje OiSlo^vEA.s. iv\<Lul. &nr*\
1- it" tlccm poT
LOCATION ASBESTOS INSULATION DISPOSED:
jlun^pltcK_______
ESTIMATED FEET REMOVEO: __________ y_>LINEAL FEET.......................................... SQUARE FEET
_EMPLOYEES INVOLVED IN ACTUAL JOB(S):
~7137,1.
P.K.^IaltelSS 7*7&>
^CVcJU iUl____________________ ____JL. -
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
NO N/A
_z s
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
Telephone :
1791P
UCC 019255
ASBESTOS INSULATION REMOVAL AND DISPOSAL RECEIVED
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
MAR 3 1 1987
(LOCATION OF JOB:)
PLANT: -TW AREA:
ZONE:
BLDG:_^paWT:
JOB SUPERVISOR: ^ fK.
g______ __ _________ DATE JOB PERFORMED: 3 - Xt- K~1
DESCRIPTION OF JOB: LOCATION ASBESTOS INSULATION DISPOSED:
^fZxU'VN1 * ~
_______________________ si)ik^^
ESTIMATED FEET REMOVED: ________ ______________ LINEAL FEET
________________ JSQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): d. M.~'7WliK 71&Z
7^76
l.ft.cVv*J[W 7^7__________________________________ _____________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
Telephone :
1791P l/y,K
UCC 019256
RECEIVED
APR 0 61987 M pATL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
PLANT:S'AREA: FJfrF ZONE:_________ BLOG: S/ti>P UNIT:
JOB SUPERVISOR: /~f~
J/>iuc/____________ DATE JOB PERFORMED: Z/9-9/< 7__________
DESCRIPTION OF JOB: PCmn/,,,
JSK<r,'\S._____OFF
LOCATION ASBESTOS INSULATION DISPOSED: (jUlf Al f
P/t^c/F///
ESTIMATED FEET REMOVED:
jg ^LINEAL FEET SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ZZ ^.sA:/ajF.
/J. A
_______
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used ^ rotective clothing used - boots, head cover, gloves, coveralls \ jter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES
j/
JZ JZ JZ Z Z JZ
4Z JZ JZ
NO N/A
JZ JZ
jZ
.. . .
& iz
JZ
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019257
Telephone
1791P
ASBESTOS INSULATION REMOVAL AND PISPOSALRECEIVED CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT . _
----------------------------------------------------------- W3 11987
(LOCATION OF JOB:)
PLANT:^1/ AREA: U
ZONE:
BLDGM2K2ES.EL UNIT: m/x; ^
JOB SUPERVISOR:
ft_____ _DATE JOB PERFORMED: 3-3. A 'i'l
DESCRIPTION OF JOB:
___________ ;
LOCATION ASBESTOS INSULATION DISPOSED:
JL^ , e ,^\VgfvY?vs
m. axsJL
ESTIMATED FEET REMOVED:
____________LINEAL FEET
QUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
7-iikX T.U.Lf>nbK6S 1H~!L
T^AUviW_____2339_____________________________________________ _____________ ____
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible?
YES NO
J_ \_
_ \l _/ V
Jl _
N/A
Glove Bag used? Barrier tape used
L-- J ....
Warning signs used
oz: __
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
_
jl _
_J
Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only)
_J ^L _
J
3/ _
Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA)
_J
/
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
J- --
J_
COMMENTS:
__nOt
(q
(_.V>
-Th-LLYL _-------
________
____ Telephone :______
(Form Filed By:)
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
1791P
UCC 019258
ASBESTOS INSULATION REMOVAL AND DISPOSAL
RF/^PIW
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
VED
(LOCATION OF JOB:)
PLANT:
AREA: X
mar 3 1 1987
ZONE:________ BLDG:JO 6 UNIT:
h
JOB SUPERVISOR: 6t fY\.
____ __________ DATE JOB PERFORMED:
_______
DESCRIPTION OF JOB: fg.'p cvSlagSttfS on
,v ir
LOCATION ASBESTOS INSULATION DISPOSED:
A
ESTIMATED FEET REMOVED:
3^
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): 5, fYN . fexft Ugg
_________ SQUARE FEET 7*tC,j '&,
Y'a.rKo'VaW 7.237__________________________________ _______________________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
N/A
v/ ___ iZ _
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldq. 701/330
Telephone :
l791P [n'r
UCC 019259
ASBESTOS INSULATION REMOVAL AND DISPOSAL
RECEIVED
( CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
( SZA
(LOCATION OF JOB:)
PLANT: .tJL AREA:ZONE:_________ BLDG: S/t
A/TJOB SUPERVISOR:
___________ DATE JOB PERFORMED:
7
DESCRIPTION OF JOB:
stSK&zms.
LOCATION ASBESTOS INSULATION DISPOSED: (jU! f
ESTIMATED FEET REMOVED:
'LINEAL FEET
^T&l/yi rf/?7AlS.
rtf'
Z/ / /
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): 5,#/J. A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used r 'rotective clothing used - boots, head cover, gloves, coveralls ^ juter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
__________________________________
YES NO N/A
zr
JZ.
Jzr
z z
_ _
z
JZ
4Z JZ
J?r
JZ _ _
i/ (Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019260
Telephone :
1791P
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
RECEIVED
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
MAR 3 11987
(LOCATION OF JOB:) JOB SUPERVISOR: DESCRIPTION OF JOB:
PLANT: ,f~//
SVa/t/fst
AREA:ZONE:_________ BLDGpMWlT:
DATE JOB PERFORMED:
~ J? 3
A S 7C S'7~ OS //JS<W
____
~7
LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED: _________ ____________ LINEAL FEET ________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
6 .. 7j? to
C/ PAsk/v/r_____
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes
C-
Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
Sagfr-i, (For mm ed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019261
Telephone :
1791P
MAR 2 3 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL construction/services department supervisor's report
(LollVfttfrt'W JOB:)
Pim-.S/7 AREA:________ ZONE:.
BLDG: ! 5J
Sou* e r-
UNIT:____
JOB SUPERVISOR:
__________ DATE JOB PERFORMED:
DESCRIPTION OF JOB:
^ 3 J>yfxAj
a> /v
LOCATION ASBESTOS INSULATION DISPOSED: ESTIMATED FEET REMOVED:___SO________
^ /Fiats' LINEAL FEET
S./s' fsz)
7
----- Zih.yJ
__________ ; ______SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ^ f
^Jc
______ _______ -? AT Cjsf
/??' ____ ________________________ ;
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
,,.
__ _ ____ j/ ___
U- --
--U
___ ___
A*-
j/ 1/
-------
___
_
___
___ ___
M- -- --
_
1h)~~7342^-
(Form Fi led^y:)
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
Telephone :
1791P
UCC 019262
RECEIVED 'MAR ^ 3 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S report
/ M. A. PATEL
lLOCATION OF JOB:)
PLANT: S'/^
JOB SUPERVISOR: /Cf',
AREA: 7
ZONE:_________ BLOG:______ __ UNIT: /
___________DATE JOB PERFORMED: ~ ^ V - 2-/f-`8 7
DESCRIPTION OF JOB:
30 L /m.n.r J&r ,7 . ? Y' / - AAe>, s't;
LOCATION ASBESTOS INSULATION DISPOSED: Qr,, l-fr ft! ,,r:, -7 Ln,,J l //
ESTIMATED FEET REMOVED:
_______________ LINEAL FEET __________________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): S.f\. rc !<,'&
A A7,7 te.n.yp.n in
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed?
YES
Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls V)uter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
FJ,. A
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
NO
--
11 --
- ---- . i i i n ' ' -
1
wiii.i^i.w m
+ ^
""" --11 " 11
J'.,, * ,A.i
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019263
i 11
Telephone :
N/A
RECEIVED
MAR 'A 3 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL
( VACATION OF JOB:)
PLANT:
AREA: U)
ZONE:_________ BLDG:_________ UNIT:
JOB SUPERVISOR:
SUjJ</r4 /aM/___________ DATE JOB PERFORMED:
3~/S' 8 7
.
DESCRIPTION OF JOB: SMlP Anes/oS
//y P/c^P/Jca/
fts-P
LOCATION ASBESTOS INSULATION DISPOSED: G
/>2 C 4//c/P? <LC.
ESTIMATED FEET REMOVED:
AS ______________LINEAL FEET______________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
____________________________
CT/T SA/pf&oP___________
l/t 7/oh+eIZ
3t5>J f ___________________________________________________________
ffoS'J________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
uter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
Ls
is'
N/A
Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
is
Type of respirator used: Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
r. (Form Filed By:)
Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019264
Telephone :
1791P
received
31987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
(LO^iq^ JOB:)
PLANT: JT/V AREA: 2^ ZONE:
BLDG:
UNIT:
JOB SUPERVIS0R:_^^,_^2^^_____ _ DESCRIPTION OF JOB:
DATE JOB PERFORMED:
> uJ^LjL.
2.
LOCATION ASBESTOS INSULATION DISPOSED: A //" /hour*
JL/ls-'A J?/jLJ^
ESTIMATED FEET REMOVED:
_____________ LINEAL FEETSQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ./? 'ft, >~
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
,,YES NO N/A
L/
___
_k.
-4^
.k:
____
--
___
____
--
U-- --
----
jZ
_
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019265
1791P
r* CHIVED; MAK ^ 3 1987'
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
Nl/JWATBIQN OF JOB:)
PLANT
AREA: X
ZONE:________ BLDG './/ft? UNIT:
' JOB SUPERVISOR:__^fDATE J0B PERFORMED:
3 - S7 * & O_______
DESCRIPTION OF JOB: 3rf/~,fs' _ 3? &S ?>c^> /9Zt
<*3)3?^
LOCATION ASBESTOS INSULATION DISPOSED: &;spns Vjof , ^ /VlA^yiwr^
ESTIMATED FEET REMOVED: LINEAL FEET.......................................................... ...... ..
.......SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): tf. f
__________ cT/f, CA**
S,At
____ '____________________ ___________________ '
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
( Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used: Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO
N/A
J/ _
--
___ '
Is'
ML.
_tL
___
___ ___ ___
___ ix ___
___ ___
Ml __________
iX ___
___
ML___ _______
LL.
Ml
___ ___ ___
Ms___ _______
j/f _ _
-- j/ ___ ___
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019266
17Q1P
RECEIVED
Mar 1 8 1987
M-A. P4TEZ.
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
FftsT a-f- L ft* is/a)
(LOCATION OF JOB:) JOB SUPERVISOR:
PLANT: S/X. AREA:ZONE:_________ BLDG:_________ UNIT:
SU/jJcli /kNsj_________ DATE JOB PERFORMED:
S7
DESCRIPTION OF JOB: STAiP ASbc&T'aS /A)sQ^T/o/i> /A/ Cftl/tT
LOCATION ASBESTOS INSULATION DISPOSED: bu)P frit'
/amJ /c//Z
ESTIMATED FEET REMOVED: __________3LINEAL FEET _____________________________________ __ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
3,/T Sam/Soa/ LU tioLA-Pc^
3S3f Jjes*
____________________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Juter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
t*'
L/ _
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019267
___ Telephone :
RECEIV Ei-
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
MAR 18 too-
CQHSTRUCTHMIj>S^VICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANT: fli- m.k-.ffhiT' ZONE:________ BLDG:________ UNIT:
JOB SUPERVISOR: F. StajdeA. AtiJ
DATE JOB PERFORMED:
& ~7
DESCRIPTION OF JOB:
4QF
ItTlW j
S&
LOCATION ASBESTOS INSULATION DISPOSED: MP^aJ^A SAafi 4 fec7/?te`M} Sdqfi
ESTIMATED FEET REMOVED:
G FT
LINEAL FEET_SQUARE FET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
_______________________
_________________________
sj
....... 7m--.._____________ _______________ .
Plant 511 Hygienist notified (H. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure Installed? Use of Olpve Bag feasible? Barrier tape used Warning signs used f 'otective clothing used - bpfts, head cover, gloves, coveralls \-^ter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES
1^ /
NO
ii^A
IS
L"' 7>
17'
s' ~Z
...
Z uz
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019268
__ Telephone :
RECEIVED
MAR 1 3 1987
M. A. PATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
PLANT: _S'#
AREA: %
ZONE:.
BLDG
UNIT:
JOB SUPERVISOR: A-f &tdtkki Jl&krx
DATE JOB PERFORMED:
DESCRIPTION OF JOB: '
OstAnti*._____ fr* X' __________________
LOCATION ASBESTOS INSULATION DISPOSED:
/Jd#
ESTIMATED FEET REMOVED:
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
.. i.m*f
1
LINEAL FEET
Add.
SQUARE FEET
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls
-uter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
NO
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019269
Telephone"
N/A
DECEIVED
.vMvrt 1 71987:
M. A. PATEL
ASBESTOS INSULATION REMOVAL AND OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
PLANT: S'// AREA: Ar/) .'T/^ZONE:
BLOG: 30/ $
JOB SUPERVISOR:
DATE JOB PERFORMED:
DESCRIPTION OF JOB: ZyLLl
A ^ :
LOCATION ASBESTOS INSUL.AATTIION DISPOSED:
ESTIMATED FEET REMOVED:
/y
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): .TF Sant/0 <:j//
s.e. uk/tier
................ " ............
UICJLa
zz
UNIT: ? /-i vj -y7
SQUARE TEET
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
-iZ
____ ____
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019270
Telephone :
1791P
RECEIVED.
m 1 71987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL
(LOCATION OF JOB:)
PLANT: jT// AREA: BA ,'T/~~Z0N:_________ BLOG: 'xO/ 3~ UNIT:_______
JOB SUPERVISOR:
*4* ~ s/___________DATE JOB PERFORMED:
,Y V -5 ~/J
DESCRIPTION OF JOB: AW,V
/,,- ,y..; !- ,^1
LOCATION ASBESTOS INSULATION OISPOSED:
cj
ESTIMATED FEET REMOVED:
/)
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): TF Sa*ps0/t
SH. ks,k'rt!-
A
JVi ; ,
n SQUARE "FEET (LA.
___________________
__ V
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
7 Protective clothing used - boots, head cover, gloves, coveralls
v Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
___________________________
YES ^
NO _
N/A
_ _jZ _ _
_k-
iZ
^Telephone :
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019271
RECEIVED MAR a 3 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(L(HtA*.I0AT0F JOB:)
S'/VPLANT:
AREA: X
ZONE:__________ BLDG:/0 (g
UNIT:
JOB SUPERVISOR: ^
______ _____ _______ DATE JOB PERFORMED:
? -/H - ??________
5DESCRIPTION OF JOB:
7/ /
LOCATION ASBESTOS INSULATION DISPOSED:
e foS____0_m___ SSs ram__ A. -Sye.___ / -v
/
/*/ 01*.'*,**+.c.e~
ESTIMATED FEET REMOVED: ____ _______________________ LINEAL FEET........................ ................... ............ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
, C**+.?*____________
ri/dr^
_______________________________________ ___________________________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A X___
___ XI_______
____ /
IS* _____
X ___ ____
X ___ ____
___ ___
-X
----
jX __
X ___
X ___ ____
Ls ____ ____
lx ___
jX _X
--_______
_ ____ ___ ____
<x jX
XL ___ ____ ___
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019272
1791P
RECEIVED
MAR ^ 3 1987
M. A. PATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
(LOCATION OF JOB:)
PLANT: 37/ AREA: k/CSf ZONE:_________ BLOG:_________ UNIT: A
JOB SUPERVISOR:^ ^A . ljjtf)Jlc(L ............ . _____ DATE JOB PERFORMED:
!>- H- 8
DESCRIPTION OF JOB:
Sfiti-P
/tf Sk L l^T Pj //
LOCATION ASBESTOS INSULATION OISPOSED: 6q// rtf' /Atld f/li~
--------- _____
ESTIMATED FEET REMOVED:
G>LINEAL FEET_____________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
LM. VoUU^________
jo 2
________________________ ___ ______________________________________________________ _______
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls [ Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO
17 ~~
Z_
N/A
__
v'
___
)L _
A# ..JjMtfiiSn..
Z ((FFonrrmm FFIil1eadc By:) Return filled out form (original) after completion of the job to: M. A, Patel - Bldg. 701/330
UCC 019273
Telephone :
1791P
RECEIVED
ASBESTOS INSULATION REMOVAL AND DISPOSAL
_,,,,
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
MAR 2 3 1987 ----------------------------------------------------------------
(LOCAJjjmj RSTEUOB:)
PLANTAREA: JZ,
ZONE:________ BLDG:///
AUNIT: 1-4
JOB SUPERVISOR:
F.
............_____...........DATE J08 PERFORMED: g - //- S __________ "
DESCRIPTION OF JOB: S'J'r.'pP Asj>7.tsJaf // Xa L.
_______________________
LOCATION ASBESTOS INSULATION DISPOSED: ),
Slf 4 , /u J+mjms-
ESTIMATED FEET REMOVED: jg^)LINEAL FEET ___ _____________________SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): j? Jr Co^_________
j; ft,
$, /fa -
s/fr tr* ___ ______________________________________ _____________________________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
JX___
____
w
____ / o'
U ___
O'
U_
_____ ___ _ ____
___
___ ________
_j
jx
^ XL
___ ___ ___ ________
---- _ ___ ________ ___ ________
___ ____
-XL
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019274
l:
RECE
( MAR ^ 3 1987
hf-
70O
ASBESTOS INSULATION REMOVAL AND OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL (LOCAflON OF JOB:>
JOB SUPERVISOR
PLAMI: f/9
AREA: X
ZONE: ____ BLOQ: /Q (ff UNIT: 3* j. DATE JOB PERFORMEO: 3 '//} ' '
DESCRIPTION OF JOB: 3 fa* v/=? yd f/>/ r y i : <?-- SJm*m k-Wt'i___ (7A' .,/^T^,/^ LOCATION ASBESTOS INSULATION DISPOSED: f) ,i <rp yrr/J r/'' 7 >7 Mlr't/i,,
ESTIMATED FEET REMOVED: EMPLOYEES INVOLVED IN ACTUAL JOB(S):
LINEAL FEET 7^7
SQUARE FEET
77 % C Jigs'dr-
7ff 37
YES Na N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclQMife^ltail^le? Negative pressure enclosure installed?
IX
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
^
/.
u is
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
V
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 month;
COMMENTS:
& /TZtyjr//___________ Telephone : (Form Fll^ci By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019275
RECEIVED
f MAR 1 < 1987
( M, A. PATE
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION* JOB DESCRIPTION OF
PLANT; O'
AREA; %
ZONE:_________ BLDG; /
UNIT:
H.____ (10.*,
iwi,^mw DATE JOB PERFORMED: ............. *-~
rryfl'S^JU
A:
LOCATION ASBESTOS INSULATION OISPOSED:... 4?*/
ESTIMATED FEET REMOVED;
____
EMPLOYEES INVOLVED IN ACTUAL $J|(S)7____
LINEAL FEET
SQUARE FEET
11 |i , flN&nn
TT- `
& Ng^1yp^#s*ure
37BQ)
$;; 't-
Negative pressure enclosure Install4l
Use of Olgve Bag feasible?
Barrier tape used
Warning figns used
'rote<$iji clothing used - boots, bead cover, graves, coveralls
outer (ftgpin vacuumed before removing ~ - .
Outer ^pp
beforf lRAvlii# IpiFricfbfU Area
loor
Area vecpmed
Employee showered before reapplying street clothes Proper clo*p-up (area housel^Jeg) BarricaOes down (after cleanup only)
Employes) aonltored by IndMStrlal Hygiene
Type of respirator used:
..
H*if*face ao R57-a (hefa)
Half-face Willson R-12 (HERA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator In last 6 months
(If not using Supplied Air - Positive Pressure)
Enyjloyee trained for 0SHA Asbestos Standard In last 12 months
JL~ Is
\7.
it?
r:
,,h'. . : -
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg* 701/330
UCC 019276
' l)
RECEIVE
'3 061987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
.. A. PATEL
(LOCATION OF JOB:)
PLANT:,07 AREA:
ZONE:
BLOG:
UNIT:
JOB SUPERVISOR:
i&LL
DESCRIPTION OF JOB:
&'O'
LOCATION ASBESTOS INSULATION OISPOSED:
iJc,
OATE JOB PERFORMED:
n eox' *'s\' :'--
ESTIMATED FEET REMOVED:
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): fir CeJ AJ
SQUARE FEET
C, r J?/a A-yz
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclg&MttJ:#4ti>le? Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls K Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
Area vacuumed Employee showered before reapplying street clothes
/
/ ,,
Proper clean-up (area housekeeping)
-
Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene*
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES ^ ____
____
NO ____
jo
-UL
N/A
____ ____
IS*
7,'1 J-J
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019277
^Telephone :
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
RECEIVED
(LCj^Ig^0|8708:) PLANT: -'5-Z AREA:-m%#^0NE: _______ BLOG: gs
UNIT: Poi-i^e
( 103 SUPERVISOR: ~R: R Pa.'aJTS)^ I ESCrpnON"OF JOB: STRi'P Asbe^ToS
DATE JOB-PERFORMED: z. -/?
............
......................................................
LOCATION ASBESTOS INSULATION DISPOSED: - ^7*- /
................ -..............................
ESTIMATED FEET REMOVED: 9o
........... LINEAL FEET ...............................................SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): L ;/<*: SHA-PfcfiZ.
-R\L: W
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Glove Bag used? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing C titer coverall removed before leaving barricaded area
YES
--
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
CHalf-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA)
&
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS Ik
iA ~1 Pi ^
(_o ,
AP
Oe.n.+S'.
An.
( (Form Filed By:)
Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
Telephone
-NO N/A 1791P
UCC 019278
RECEIVED
ASBESTOS INSULATION REMOVAL AMO DISPOSAL
MAR a 3 1987 CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
( M. A. PATEL
(LC( 'ION OF JOB:)
PLANT: ff__t___ AREA: jJesT ZONE:
BLDG: /J/ UNIT:.
JOB SUPERVISOR:-, -f------ AfoL-------------------- .DA.TE JO. B PERFORMED,: -.. 3~1~,
DESCRIPTION Of JOB: ^Aifi JiUoTfii /a/ ffccT&GArL
LOCATION ASBESTOS INSULATION DISPQSEO: .
ESTIMATED FEET REMOVEO: L ^<57'
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL J08(S):
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
( er coverall vacuumed before removing
d..er coverall removed before leaving barricaded area
Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes -Proper clepn-up (area housekeeping) Barricades down (after clean-up only) Emp1oyee(t) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Willson R-12 (HEPA)
-SuiipP^^AIr-Ful 1 Face - Positive Pressure
Employee trained for respirator In last 6 months
(If not using
* Positive Pressure)
Employee trained for OSHA AlbditflS Standard in last 12 months
COMMENTS:
YES NO N/A
T> 7>
t*:
K I
(Form F11e<rl1ly:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019279
1791P
i (; QJUL.
RECEIVED
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
FEB 0 6 1987
(LOCATION OF JOB:)
PLANT: 5//
Cor}^
NUtk-.JAa&
ZONE:
BLOG:
M. A. PATEL UNIT:
JOB SUPERVISOR: rT /f Ch/i^lcJe-_________________ DATE JOB PERFORMEO: ___?___-__S___-f?
DESCRIPTION OF JOB:
* d
//+*'s (j/J /*> /-
LOCATION ASBESTOS INSULATION DISPOSED:
AyoA' e ,,ESTIMATED FEET REMOVEO:
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ^ f^yAJ'P
'C__
____________ SQUARE FEET
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure
Negative pr$$$ure enclosure Installed?
Use of Glove Bag feasible? t
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
/)
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Einployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator In last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard In last 12 months
COMMENTS:
YES JjO N/A
____ ____
-ML
./
ML
-M. ^
-k!
ML
j/ ML
_ML
ML
___ ____ ___
___ _
--
--
___ -----___
____ ____ ___ ____ ___
_____
--
------
____
ML
Z__
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019280
Telephone :
Rce/w so
ASBESTOS INSULATION REMOVAL AND DISPOSAL
FEB 1 3 igg-, CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION5^ JOB:)
PLANT: 57/ AREA:_
ZONE:
BLDG:c?/g VS UNIT:
JOB SUPERVISOR: _V, /-" dX rJP
DATE JOB PERFORMED:
- b?
DESCRIPTION OF JOB:
>/.
Ci-2____ or
LOCATION ASBESTOS INSULATION DISPOSED 6W'
GfrshTs 4 PAcJf/a/c,
3
ESTIMATED FEET REMOVED:
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL UOB(S):
.iff... Jl.. <nj tja?, . ?KJ.Z
________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months
YES NO N/A
Hr
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019281
1791P
RECEIVED
MAR 1 3 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL
( ( M. A. PATEL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
PLANT: f/f AREA: 'tjdsf ZONE:_________ BLDG: /J/ UNIT:
JOB SUPERVISOR: f.F
/AjjJ___________ DATE JOB PERFORMED:
_________
description of job: sJ-mP ASi^7^S /V sP/fcr/T~
LOCATION ASBESTOS INSULATION 0ISP0SED:
ESTIMATED FEET REMOVED: L PedT"
EMPLOYEES INVOLVED IN ACTUAL J08(S):
LL/ste/j*
&os'3
LINEAL FEET
____________________ SQUARE FEET ____________________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
f ^ective clothing used - boots, head cover, gloves, coveralls
Ou^r coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) ojonitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
v.
YES NO N/A
r
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019282
Telephone :
1791P
s
I 4
l
K
tv
t-:-.
r,\
f. 4
\
Received
ASBESTOS INSULATION REMOVAL AND DISPOSAL
(
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
FEB 03 ig$f
( ( (LOCATION OF JOB:)
M. A. PATH PLANT: S'// AREA: As7~ ZONE:_______ BLOG: ShoP UNIT:_____
JOB SUPERVISOR: // DESCRIPTION OF &B:
____________ DATE JOB PERFORMED: ftfe
Wi ' Y.'l __________________
LOCATION ASBESTOS INSULATION DISPOSED: GuJ-f
/J /.
ESTIMATED FEET REMOVEO:
3 e>o7~ LINEAL FEET SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ;___________________________
________________________
Ia/A ToUsosS
fnp*___ V33>C
_________________ '
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
'"
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure . ...
_
Employee trained for respirator in last 6 months
.
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES NO
L/ us T> UG '
SA7 s>0-A A
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019283
____________Telephone : U7f :)
179
QJUL
y '/'jo
RECEIVED
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
FEB 03 1987
M. A. PATR
(LOCATION OF JOB:) PLANT: j> // AREA: E/tsTZONE:
BLDGP'ro/aa SnIT:
JOB SUPERVISOR:
DATE JOB PERFORMED: /- 37- g 7
DESCRIPTION OF JOB:
!"
LOCATION ASBESTOS INSULATION DISPOSED: ^4/
ESTIMATED FEET REMOVED: ___________ / ,7
LINEAL FEET __________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL J08(S): 4. A'
& Sr fiL
________________________
S.6. dtt E Ay fi,y
_____ /?.{?, a a u> /- if-S.. :
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure
Negative pressure enclosure installed?
Use of Glove Bag feasible? ?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
/j
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
U
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
NO N/A
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019284
Telephone :
Supplied.jA|Ful.|^.;.- '
Emp 1 oyee tra\ ned ;for respi rat6fttnM$$*h6 wonthsf sTr
. fV-.:vV<v -V .v-
,,vi .*!*, * 1`-'
(If not usin.g Suppl ied;Mfe^-fcosiitve'vBress.ure) .'
Employee trained fqr OSHA
12 months ;
COMMENTS: : ^ -; . Tfv
r ; % "
--V-T-ipT-gl
f' ;
- :.:.. ' w- -s..,* ,*.y; vv'0a*;,' ?->.V.-.; Return filled `out#prm '
of thetfof'to;
vR^tp.1^
*fj! W*0 ppfl:?;
<- v;
' telephone
??, ':*. 'tfl'r-S1**"1
>; v/f #*f|.
rJlV
UCC 019285
ASBESTOS INSULATION REMOVAL AND DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
;zr
(LOCATION OF JOB:) PLANT: .$7/ AREA: H ZONE:
BLDG: ^ UNIT: /?
JOB SUPERVISOR: /T/" Scmu^/c/t /Al/U, , "" DATE JOB PERFORMED : A&t- A/Z-R7
DESCRIPTION OF JOB: ftp/nt>l/lJi/j
A`s6f`$7~o ?
LOCATION ASBESTOS INSULATION DISPOSED: _ {7U/-f /tfT~
ESTIMATED FEET REMOVED: APP
LINEAL FEET
7~/qaJ /A(V<//^//J
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
A.P) cr/eP de/L* /J
7 8t Q
Sit E$ sk/fF
1811
upp '/jo/nSi,**/ - s' y m S fAtweJ? - 33P 7
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
rotective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
LS
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
:: -JT/T SAsmosi*1 (Form Filed By:)
Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
Telephone
1791P
UCC 019286
ASBESTOS INSULATION REMOVAL AND DISPOSAL
f CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT -M- Zt~
(LOCATION OF JOB:) PLANT: -T? / AREA: ,ZL ZONE:_______ BLDG: 7 UNIT: foWr/t //
JOB SUPERVISOR: /CC ^JX><t '/ /A x>J DESCRIPTION OF JOB: <5tfai'/?
DATE JOB PERFORMED: /- /&-. 7
-fyA-T) *^
LOCATION ASBESTOS INSULATION DISPOSED:
C//~f /7f7~'
/y//
ESTIMATED FEET REMOVED: ________ 3LINEAL FEET_SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
________________________
C/1
______________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months
YES NO N/A
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019287
RECEIVED
. y . ^ . r'*.*: . . , . i . . ASBESTOS *I"NSULATION RE11M1 OVAL ANO ..D...I.S*.P^.O1.!SAL uliMM-' vcowstructIW/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATIOQNNOF J08:) PLANT: S~/J AREA: JOB.SUPEER|VlI|SpORR : /7r SWc/f/l DESCRIPTION .OF JOB:
Q.
ZONE:
DATE JOB PERFORMED: S
UNIT:' f?.//o</s7
>>>
, 'S'A*.
LOCATION ASBESTOS I NSULATIONpI SPQSED(?(/ '}-T //fJ ^n1 em: LINEAL FEET -
EMPLO^^ipOLVE^ IN ACTU^aB(S)?^^ /J ^" n
f/t'SkfJr f> -x;rf' hrygyjgS'g? -----~"----- ;'---- ;:\ ,h
``fs-. - ...
* iff*1!f* L-v i>Vw.
''
?*'' -'-k*"j^T",TTr^T^,,
?'- *, * -!>.:? -
Plantst not 1 f 1 edjjtVf3750)
/AaJ</ /VS / ' 4 V
'
M:y a *ySQUARE-FfcETsI? s!
/K^T- 'T^foni/'Sop/ 't
2J> i;;"5'T
YES NO
. / ; .' !.-?v'Jr'.
vF:^ r
l--1:':
sEStlilSi
ff-y- -Tr>'
Oyf(er?P91. remc>yed be'fo^^^teglbarp^cadedTarea-
'Plastic-used W'f1 oor. and:'"^^
:?;- -r'&Z '.w -
>;-'*YKa
Area, v. a-cyu^lu'om.eid.* _,
Employe^fj^red before
'%v'*f^ ^
Proper.cJfi^D-jNPr:f?rea hou^!cfeeg|><t::.* ` - ;/. ,
Barricades.vjlawn (after cIeao.4!4P%iy)fr'/. .' '
Emp 1 oypefs) ;ywn 1 tpred. 4ndji^r|ailJtHyglehe f ^ ' v
Type .fV:.Haif^|ace$0 ^57rA (HEPA)
;.'
:...;
'y **1
, : !
: ^RBltSOMIr-fO1Vta^llwl^^*%'ejssurp;.
Empld^leilralned -f9r!-OSHA.^s^^oi^J|:^0^rd 1 n last 12 months
v ' ' ' ' -;;
m:
:W:>v-r*k-.
.-'
1 r.:-t r4:'i^Jv/ '.i:;*--'i''.''''.v' !" '" v-rr' '
'
.:
m filed By:)
Return filled out form (original)-'flft4e/^Comp;l.et1on
of the job to: M. A. Patel - Bldg* 701/330
if ~
^>Xr4*Ma ry si' .- v i*5y^ r^ t a fj?
. i.;--ft *' 1* . x,' *;* f > J* J^T" -. jr:,' -4.'. 'r.* vr?f4''*4tfS`'i. t :;t..: .< *r"TS*~'-Si
:' ~'''' .... : _ ,Vv * .-1 "*-> ; ,*!!*>u.41 tT- v '. :. . +:KXt;.. ' *> ; V*r^'i
rr^ `irjrr . -.' .
'X--t ; -*.
^ V; J
K
>;
. : . <* ..vj ^ :k`\ ' -V .`HIV's!* 'V-! ch~-.: yu7^-i`''.X!:r0
v;V
Telephone :.
-'
: V-v-'>'{.>
<>;, : - 1 2:S>v
* --'4'^
--<w-: --r <*5i <y , >': . ` 4 \Vv
1 791 P
UCC 019288
ASBESTOS INSULATION REMOVAL AKO DISPOSAL CttftMUftHMt/SttVIttS OEPARTHEWT SUPERVISOR'S REPORT
' (LOCATION OF JOB:) PLANT.pC^ AREA\T>C' ZONE:_______ BLOG: ~7J~7 UNIT: foAAi JOB SUPERVISOR; F. , Su/jfl E-&L4 QOATE JOB PERFORMED: _______________________
DESCRIPTION OF JOB: STlP ftSggVToS
LOCATION ASBESTOS INSULATION OISPOSED:
ft A)t j , LauOPUL
ESTIMATED FEET REMOVED:
o'LINEAL FEET SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): T A CHOOCU________
_______________ C F Sooo^QS
Plant 511 Hygienist notified (HTVAr 11g - ext. 3750) Negative pressure enclosure feasible?
Negative pressure enclosure Installed?
'
Use of Glove Bag feaaiblf?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacupmed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping) v
Barricades down (after'clean-up only)
Employee(|l^itof#d by Industrial Hygiene * Type of respiretj||f;g|fd:
Half-fact AO R&-A (HEPR)
Half-face MUson M2 (HEPA)
Supplied Air-Full Face P.otsit` ive P ressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: -JiaJ O^usl <fb:' tAU.
j^<JX ^
YES NO N/A
-- --
t
. ___
JC"77 4 C^q HTelephone : 1 ^7
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019289
^7*] 1791P
received
ASBESTOS INSULATION REMOVAL AND OISPOSAL
SEP 041987 CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
( M.A.PM& (LOCATION OF JOB:)
. PLANT: 5)4 AREA:
ZONE: 7~
BLDG: /& UNIT: La.-b
JOB SUPERVISOR: A>7 L'js/L--
DATE JOB PERFORMED: % - 2. 7 - ?7
DESCRIPTION OF JOB:
'
{/-Z- )/.*---
-i_____
LOCATION ASBESTOS INSULATION DISPOSED
(y U2=^k__ ^l-
LaJL
ESTIMATED FEET REMOVED:
/#
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ftC
n
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls ( \iter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES . NO N/A
_
jZI ___
_____
_____
____ ___
____ ___
]Z _ ^_
jy{ (Telephone : ZZ4 ?
(Form Filed )tf\)
Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
^
UCC 019290
,
RECEIVED
SEP 041987
ASBESTOS IHSULATIOH REMOVAL AND DISPOSAL
f CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL
(LOCATION OF JOB:) PU IT: 5^
JOB SUPERVISOR: 0. ,Y1
ZONE: JL. BLDG: ! $ 6
DATE JOB PERFORMED: % -
DESCRIPTION OF JOB: LOCATION ASBESTOS INSULATION DISPOSEO: 5/i^f
ESTIMATED FEET REMOVED:
LINEAL FEET_______________
EMPLOYEES INVOLVED IN ACTUAL JOB(S): J.R (L ksLrtJZsr/
S.fLr
UNIT: L<k.V>
SQUARE FEET
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used fProtective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) '* Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES y
NO _
N/A
y
y_
y.
y
Z
y
_ ___ _
_
y
Z __
__
_
---------------------------------------------------------- ,
(Form FHecByT) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019291
Telephone
1791P
RECEIVED
ASBESTOS INSULATION REMOVAL AHO DISPOSAL
MAY 1 5 1987 CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S report
,sj f e f
M. A. PATEL
_
.
spfa-K-/
(LOCATION OF JOB:) PLANT.<7/ AREA-/ ... _ ZONE:_______ BLOG:_______
UNIT:
J08 SUPERVISOR:
__________________ DATE JOB PERFORMED: S~tr - <f ?
DESCRIPTION OF JOB:
ZvbpfiJo*; S)AJ sty/veS sffCs'esj
rA- ^ _____
LOCATION ASBESTOS INSULATION OISPOSED: (?,,/
A
ESTIMATED FEET REMOVED:
$D___________ LINEAL FEET _________________
_____________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ^ S.
S ft
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible? Negative pressure enclosure Installed?
\/
Use of Glove Bag feasible?
Barrier tape used
y
Warning signs used / Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
_LZ.
U/,.
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
JZjZ jy
J*L
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
\/ ts
(If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months
iy
COMMENTS: C[y/*?/) /<?> ...... 1.row______ fa /
_____L
Telephone
| (Form Filed By:) Return filled outi form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019292
NO N/A 1791P
RECEIVED
MAY 1 5 1QQ7
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
( CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
( M. A. PATEL
/Jec 4 Z^.2---
(LOCATION OF JOB:) PLANT.// AREA-/.. _ ZONE:_______
JOB SUPERVISOR: /?, JTAC.nZJ,'OATE JOB PERFORMED:
DESCRIPTION OF JOB: 5/^ p /, ]?<=>O
3
BLOG:________ UNIT: <- ^ / S2
LOCATION ASBESTOS INSULATION DISPOSED: /, //~ ft J ^ , J,
J A/A 4,
ESTIMATED FEET REMOVED:
9LINEAL FEET _________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): <p. P: /T?' <P Jr, ^ ?
/ k .S'nod MS?
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure Installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO OIA ^ y \S ___ J^ ^ jy ,y // //
l/ if ^ J/ ___
___ ___ \S
1/
0tL. (Form Filed By:) Return filled oui form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019293
Telephone :
1791P
received
MAY 1 5 1987 M. A. PATEL
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANT f/J JOB SUPERVISOR: j?, ft DESCRIPTION OF JOB: ,?//.
AREA-/',, _ ZONE:_______ BLOG: _____________ DATE JOB PERFORMED:
ft S Oa^ 2" i , A-e JT
-2- UNIT: tf" 9
LOCATION ASBESTOS INSULATION OISPOSED:
/Z' ftlsl A '_____ ________________2- ft________
ESTIMATED FEET REMOVED: SO ____
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ft ,r /)-*<? 2 /
________
SQUARE FEET
C, S / C'/psi rJ S'A'/a j
,7. / /i'-.S> k
0 a/2 ^
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure Installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Einployee(s) monitored by Industrial Hygiene
Type of respirator used:
'
Half-face AO R57-A (HEPA)
;
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES NO N/A
.Jxd. ___ L/ ___ ___
-4Z ----- -----
__ JftL ___
4^ _ --
_k: -U -U-
-Lft -Lft1 _
___ ----___ ___ ___ ___ ___ J/
___ ___
___ ___ ___
JL* ___ o/
___
/ (Form Filed By:) Return filled out} form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019294
Telephone :
RECEIVED MAY 1 5 1987
ASBESTOS INSULATION REMOVAL AND OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M A. PATEL (LOCATION OF JOB:)
PLANTJf//l
AREA-/... ' ZONE:_______ BLOG:
UNIT:___
JOB SUPERVISOR:
DATE JOB PERFORMED: S-
DESCRIPTION OF JOB: S/rfp Z<-A e o AA o3' SifA/f-m 3, /Z >g_-
LOCATION ASBESTOS INSULATION OISPOSEO:
ESTIMATED FEET REMOVED:
/ Aff
Af/ss LINEAL FEET
As A ASQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): <f, A A'n. C?y//
r tf.
<?. /f,
k, * ,,_____ /T Jf- ^ /.</:&&'____
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure Installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Einployee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A
-U ----- ----___ ___ cS1
JuL lS
-UL
-Jz
___
___
___ is
___ ___
U U ___
j/ ___
2ZS
' (Form Filed By: Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019295
Telephone :
1791P
received
APR 201987 M. A. ?ATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF J08:) PLANT
AREA-
_ ZONE: h/Ci'f BLDG:________ UNIT:
JOB SUPERVISOR: Jj/f Sb/UpSo^DATE JOB PERFORMED: _____________________________________
DESCRIPTION OF JOB: S/piP
S^SaLf/,^ (/W+)
LOCATION ASBESTOS INSULATION 01SP0SED: .
ESTIMATED FEET REMOVED:
' 5 ____________ LINEAL FEETSQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
fA /.//
r.fisyc//____ 2Xk _ /itiU+C/A' - S'xiZlP _
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
'
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019296
Telephone :
1791P
RECEIVED
ASBESTOS INSULATION REMOVAL AND DISPOSAL
APR 2 0 1987 CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL iLOCATION OF JOB:) PLANT: JOB SUPERVISOR: JLLI___
AREA:
ZONE:
BLDG:
UNIT:
_________ DATE JOB PERFORMED: ________________
DESCRIPTION OF JOB: S'/
/os__ s~l''2a //e - //v
LOCATION ASBESTOS INSULATION DISPOSED:
__ /ScJZr,.,
ESTIMATED FEET REMOVED:
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): tg
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls
jter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
i;- -Al.____CvyJ/JtA'Telephone :
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019297
YES NO j/ t___
___ ts'
U_ CS ___ tS ___
N/A
____
___ ___ ___
_jy ___
juL ___ ___
U ___ L*
___ ___
IX LS
JLT ___ ___ -U --
B/cc:
J. R. Dement, 309-2 tf. V. Flllpek, 5515
R. B. Nlckles, 8-169 E. D. Southard, 82-3 W. J. Vincent, 109 K. W. Windhorst, 106
fayc-ff-S_
RECEIVED APR 2 0 1987
M. A. PATEL
X
UCC 019298
PROCEDURES TO BE USED TO COMPLY WITH SIBPART M - NATIONAL EMISSION STANDARD FOR ASBESTOS <40 CFR): acm will be thoroughly wetted, removed in
sections/ and placed in properly labeled, leak-tight containers for disposal; as outlined in Section 61.147. LAB TESTING BY:N/A
ADDRESS/PHONE NAME/LOCATION OF WASTE DISPOSAL SITE: UNION CARBIDE AGRICULTURAL PRODUCTS 00., INC
Goff Mountain Landfill/Intersection of Goff Mountain Road & State Highway Route 25/ Institute/ West Virginia 25312.__________________________
SITE APPROVED BY DNR: ( ) NO ( X ) YES
Permit # WVP 005 005 509
COMMENTS: Rick Coyner/ Walt Filipek/ initiated this notice._____ _______________
In addition to the West Virginia Air Pollution Control Commission, a copy of this notice must be sent to the following agencies:
U. S. Environmental Protection Agency Region III (3AM22) 841 Chestnut building Philadelpha, Pennsylvania 19107 5 Attn: Asbestos/NESHAP Coordinator
Solid Waste Office Division of Water Resources
WV Department of Natural Resources 1260 Greenbrier Street Charleston, West Virginia 2531 1 Attn: Asbestos Coordinator
Asbestos Control WV Health Department 4877 Brenda Lane Charleston, West Virginia 2531 2 Attn: Asbestos Coordinator
APCC-ARN-3/86
Union Carbide Corporation J. L. Wbrstell, Environmental Protection Coordinator P. O. Box 8004; Bldg. 406 South Charleston, West Virginia 25303
Page 2 of 2
UCC 019299
WEST VIRGINIA AIR POLLUTION CONTROL COMMISSION
1558 Washington Slrrt. *t CHARLESTON. WEST VIRGINIA 2S311
TELEPHONE: 34^ 2275 OR 348 3 286
ASBESTOS REMOVAL NOTIFICATION
RENOVATION
x_______
DEMOLITION______________ . DATE March 4, 1987
NAME OWN EH/OPERA TOR UNION CARBIDE CORPORATION
A DDR ESS/PHONE p. Q. Box 8004; South Charleston, WV 25303^
PHONE # (
NAME CONTRACTOR UNION CARBIDE CORPORATION
ADDRESS/PHONE
P. O. BOX 8004; South Charleston WV 25303
,PHONE # ( LOCATION OF FAC1LITY/ADDRESS 437 MaoCorkle Avenue, South Charleston/ WV
SCHEDULED STARTING AND COMPLETION DATES OF DEMOLITION OR RENOVATION:
STARTING March 9, 1987
COMPLETION March 20, 1987
IS FACILITY BEING DEMOLISHED UNDER AN ORDER OF A STATE OR LOCAL
GOVERNMENT AGENCY? *
( X ) NO
( ) YES
IF YES, WHAT AGENCY - INCLUDE NAME, TITLE AND AUTHORITY:
APPROXIMATE AMOUNT OF FRIABLE ASBESTOS CONTAINING MATERIAL(ACM): ft^ used to cover or coat any duct, boiler, tank, furnace, structural member, etc.
240 linear ft on pipes Estimation techniques of amounts of ACM at demolitions for quantities less than 260 linear ft and/or 160 ft^
DESCRIPTION OF FACILITY: Age 52 + Years Size60^V_x_l_00'L x 5S'H Prior Use Miscellaneous piping in Bldg. 106 (current use laboratory)
LOCATION OF ACM IN FACILITY AND METHODS OF PLANNED DEMOLITION OR RENOVATION: The ACM is in insulation on piping located on all three floors of
Bldg. 106. Approximately, 240 ft. of the insulation will be stripped in various
levels of the biulding, by wetting and removal in sections.___________________
UCC 019300
3
7(
OJJL. 22^
h/-:-
C/jO-osey#-
received __
JUL23 t9S7
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
<c
(L^jjAy^lTflf JOB:) JOB~'SUPERVISOR:
PLANT: f/;2_ AREA:_______ ZONE:_______ BLDG: , 7y UNIT:
^ (Co ......DATE JOB PERFORMED:
7- O- - 3
DESCRIPTION OF JOB: S'/e* ^
c , ^ &AO#-
LOCATION ASBESTOS INSULATION DISPOSED:
(7s,/t
/u /*
A/s ^ V
ESTIMATED FEET REMOVED:
______________ LINEAL FEET __________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): C. /?* s A___________
S3
O, C-/j?*.ri.</>
^____ _ ________ ;-------------------------------
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosurfi^fedSlble?
Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before le<aving barricaded area Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
4
/ /j ,0`
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES NO N/A
zL y
(y
JZL
-J/
_
___ _ ___
_ ___ _
y
jy 6/
(Porm Filed By:) Return filled out form (original) after completion of the job to: M. A.' Patel - Bldg. 701/330
UCC 019301
Telephone :
1 791P
.RECE0g9W_
--2 V'J
JUL23 1987 M A. PATEL
ASBESTOS INSULATION removal and disposal "* CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
' CfJXo S -2S
(LOCATION OF JOB:) PLANT: J~/2 AREA:________ ZONE:_______ BLOG: 7) 9
UNIT:
JOB SUPERVISOR: 1' -p Gait-,?. >DATE JOB PERFORMED:
9rP-/~ S'
DESCRIPTION OF JOB:
,n / ,
r / x *'r. k a j~
S X ? .
LOCATION ASBESTOS INSULATION DISPOSED:
/A ry, 9*,,
A, A/
________
ESTIMATED FEET REMOVED: f 2 0LINEAL FEET ________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ,f. k /X-r/X- <
C.tfJ. C0 ,
tk Ssi okC, A /f^.CX_________ _ ______ ;___________ ____
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
1/
Negative pressure encl.QjiunfiLl^lble?
Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used Warning signs used
<x jy_
Protective clothing used - boots, head cover, gloves, coveralls
_Lx
Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area
-U-
cX
Plastic used on floor and over equipment
X
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
4
Barricades down (after clean-up only)
b`
('f
\
JX
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
H
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
LX'
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMME NTS
( aa A-
/X V V
fVx
ex. > ,
a- f Telephone
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. Ax Patel - Bldg. 701/330
UCC 019302
NO N/A _ZX_ ____
1 791P
1 0 QJUL. 2Zk2=J&^>76
ASBESTOS INSULATION REMOVAL AND DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
c
(LOCATION OF JOB:) PLANT:-*72. AREA:________ ZONE: _______ BLDG:..
UNIT:
JOB SUPERVISOR:
_________________ OATS JOB PERFORMED:
DESCRIPTION OF JOB:
(,p
LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED: r./e^ o
/ S-* ' ^/A
LINEAL FEET
/&/ob 7 7__________ A A ___________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): . C.
f., c: fiaGA ______ '
5,
i/^r
. __S-22. M. /? A
y<;
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure eocl(^wj^^ll$ible?
Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before le*aving barricaded area Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
4/
Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
\
s V
Type of respirator used:
1
k'
vy
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA)
ly
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
i/
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A.' Patel - Bldg. 701/330
UCC 019303
Telephone : v
0 QJUL `22^M^2>76
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
<Lo S
(LOCATION OF JOB:) JOB SUPERVISOR:
PLANT:,AREA:
ZONE:
BLDG:..
_____________DATE JOB PERFORMED: f-/
DESCRIPTION OF JOB:
,, /9< he <. /n% ; ^ /^ 9 ?_________
LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED:
_______LINEAL FEET
r*! ,
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
A1A, U/a^AoCE________ C./T
ft. <?*>: M
&'C,
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure encl<^iuttjfej|$jjble?
Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before le4aving barricaded area Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
4
/
b
'J
\
'N
u
Type of respirator used:
1
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA)
--ku
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
L/
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMME NTS
* U, .
____C/<Tr' .
MM
u
UNIT: S>7
SQUARE FEET
NO N/A
ML-.
ly
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A.' Patel - Bldg. 701/330
UCC 019304
Telephone
1791P
I l) QJUL-
"3 750
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) JOB SUPERVISOR: DESCRIPTION OF JOB:
rr--iPLANT: O(2
AREA:
'
JL
01,^,g q *
ZONE:
blog: ,y~y UNIT :(%/
DATE JOB PERFORMED: ?-2>f~V7
rtuislcfe.. 7?&JL nf M
LOCATION ASBESTOS INSULATION OISPOSEO: go\-7 /ft-fjUJ 7.1(
J
ESTIMATED FEET REMOVED:
_________ LINEAL FEET _________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
CIS- dos-p
06 _d! \
lr\
J Pi/l 1 to
- /VU,
-----------
Sy\ , " -----------------
S-ficxiit -S S,
* nr *.
YES NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclo^ure-jM^ible? Negative pressure enclosure installed? Use of Glove Bag feasible? *
"7
~7
1Z
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before le<a ving barricaded area Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
4
Barricades down (after clean-up only)
/f
\
Employee(s) monitored by Industrial Hygiene Type of respirator used:
U 1
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA)
~Z
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS: [/c^C , tfUy flirtr! CleoneJ ft*A A
liu,in f^ned By:) Return filled out form (original) after completion of the job to: M. A.- Patel - Bldg. 701/330
UCC 019305
1 791P
0 QJX-
?, 7$
ttJ A
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) J08 SUPERVISOR: DESCRIPTION OF JOB:
PLANT: Si 2__
AREA:
ZONE:
BLDG:.. 77 UNIT: Cr/4_5<^c-
DATE JOB PERFORMED. : ~7 - J?<5 ~ g~7
^ iiedo'j 0f
/5y
LOCATION ASBESTOS INSULATION DISPOSED:'
(r^iy1 H/lji).
All
ESTIMATED FEET REMOVED:
LINEAL FEET
_________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL J08(S):
<~A
tf\LUMlUc<_
0ro^
>g
______ *<
<?
___________ ___________ __
NO
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure encl(^qij[eftsible?
Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
4
k1
Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
*\ U 1
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months **
COMMENTS: l4cts~h
J fait
u JLS2 JU (iL...
Telephone
'(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A.~ Patel - Bldg. 701/330
1 791P
UCC 019306
ASBESTOS INSULATION REMOVAL AND DISPOSAL ' CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANT: 51"L- AREA:
ZONE:_______ BLDG:1( ( UNIT: fylZ-c
JOB SUPERVISOR:
{yl
-,
DATE JOB PERFORMED:
DESCRIPTION OF JOB:
M/.'- (llTZ
F ft c ^ ^ (/ The f
LOCATION AS8ESTOS INSULATION tDISPOSED: (Vv* Y1
1.' Z/i - 9 ~7
ESTIMATED FEET REMOVED:
|c?0
EMPLOYEES INVOLVED IN ACTUAL JOB(S): Ml l^Uc-___________ _______
_____ LINEAL FEET
QUARE FEET
r-
J y V*5C,----------
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure encl<^urjejLeasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
/j
Proper clean-up (area housekeeping) Barricades down (after clean-up only)
4 ',.y
S
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
1
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
zYES NO N/A / \-Z
V77- \L _ z"7
_Z
----
----
-- aZ _
z7
ZL
7
Form Filed By:) Return filled out form (original) after completion of the job to: M. A.- Patel - Bldg. 701/330
UCC 019307
Telephone : $& 1791P
0 QJUL.
ASBESTOS INSULATION REMOVAL AND DISPOSAL ' CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANT: SCL AREA:
JOB SUPERVISOR:
ii\ A
-
_ ZONE:_______ BLOG: ,lb ( UNIT: OV|(o> _ DATE JOB PERFORMED: . > z-7-71
DESCRIPTION OF JOB:
4t flg.5. D_
LOCATION ASBESTOS INSULATION DISPOSED:
Ai.
ESTIMATED FEET REMOVED: _______ hO
LINEAL FEET
U4-
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
f\C Sv,i
H\L uAlUc*.___________ ______
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enc 1 <^urje
i b 1 e?
Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
4
Barricades down (after clean-up only)
r
\
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES NO N/A
3
Z Z
y
"7
%
1/
V
V
V
7
7
Form Filed By:) Return filled out form (original) after completion of the job to: M. A.* Patel - Bldg. 701/330
UCC 019308
1 791P
QJLL. yzk^M=--^>'/ou
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
PLAr. NT: (~l-- AREA:
ZONE:
BLDG: ,11 UNIT: ` W-<'
JOB SUPERVISOR:
[L\{\r#- . .
_____________ DATE JOB PERFORMED: n-On
DESCRIPTION OF JOB: ^ J 54 r, p L, u ^
fc.
' -fTT---- . --
M ! t .?<
LOCATION ASBESTOS INSULATION OISP0SED:
G V tfU / '
( ' ( j"
ESTIMATED FEET REMOVED:
|frQ
LINEAL FEET
____ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): 0 $Lst*L l . / ^ - ^)irr?<4-j'
s1. hJ-&k 1 K)_____
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure encl(^Mrj8.^f.eASib1e?
Negative pressure enclosure installed?
Use of Glove Bag feasible? t
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed Employee showered before reapplying street clothes
/ /j
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES NO N/A
lorm hi led By:) Return filled out form (original) after"completion of the job to: M. A.' Patel - Bldg. 701/330
UCC 019309
Telephone :
1 791P
0 QjJX-
3 7'^u
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF J08:) JOB SUPERVISOR:
PLANT: P Z- AREA: 11 dL-
DESCRIPTION OF JOB:
LOCATION ASBESTOS INSULATION DISPOSED:
ZONE:
BLDG:
DATE JOB PERFORMED: In. Uck a{-
Lord^fj
UNIT: H 23 ?rl/<slSlLJL
ESTIMATED FEET REMOVED:
jof)
LINEAL FEET
____ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
il$Lum______
___f.. .fe
______ _____ 44- \LbL .
iklS
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclgjwnfijf.$$ible?
Negative pressure enclosure installed?
Use of Glove Bag feasible? *
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
4
Barricades down (after clean-up only)
/ /J M*
\
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
i
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
NO N/A
5 I
(F<$/m Fi fed By:) Return filled out form (original) after completion of the job to: M. A.'Patel - Bldg. 701/330
UCC 019310
Telephone :
1 791P
7# QJUL-
^ y> 7$
ASBESTOS INSULATION REMOVAL AND OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANT: 51 l~ AREA:
ZONE:
BLOG :~}Q UNIT: Cf|
SUPERVISOR:_____ M
DATE JOB PERFORMED:
ASCRIPTION OF JOB:
..2-.lyts-L^*a^ ^ -i ^ L
__ l.i/i.
tOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED:
7)0
LINEAL FEET
7 SQUARE FEET
STPLLOOYYEEES INVOLVED IN ACTUAL JOB(S): Q_ RroS<?
M/4-
-------- ----- fr^kLjq.
L U/07/.c
Hant 511 Hygienist notified (M. A. Patel - ext. 3750)
fegatlve pressure enclt^urjiJi.sasible?
egative pressure enclosure installed?
tee of Glove Bag feasible? *
terrier tape used
terning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Sitter coverall vacuumed before removing
teter coverall removed before leaving barricaded area
Wastic used on floor and over equipment
iSrea vacuumed
Baployee showered before reapplying street clothes
ftroper clean-up (area housekeeping)
4
terricades down (after clean-up only)
b' ( 'I \
faployee(s) monitored by Industrial Hygiene
Type of respirator used:
1
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES NO N/A
jZ.
J
'orm Filed By:) Return filled out form (original) after completion of the job to: M. A.' Patel - Bldg. 701/330
UCC 019311
Telephone :
1791P
RE.CE'N/D
U(L 08^87
ASBESTOS INSULATION REMOVAL ANO OISPOSAL
JUL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANT
AREA-
ZONE:_______ BLUG:UNIT:______
JOB SUPERVISOR:
______________________ DATE JOB PERFORMEU: "J/J.
'
DESCRIPTION OF JOB: ri'r,
Jrjr r-io--:
, . f' c s* J r ;
LOCATION ASBESTOS INSULATION DISPOSED: |C,,/.- /!.-,
' , /
____________ _
ESTIMATED FEET REMOVED:
/ J? ^__________ LINEAL FEET ____________________ ___SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):C. #
<j* <-
*Ju__ Jr.
YES NO
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
u
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
iS IS
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
_tAL
Area vacuumed Employee showered before reapplying street clothes
" .m' Proper clean-up ,(area housekeeping)
a/...
y
Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
jyL
Type of respirator used:
Half-face AO R57-A (HEPA)
Halfpface W111`son R-12* (HtPA)
Supplied Air-Full Face - Positive Pressure i l' .-I'-*' Employee trained for respirator in last 6 months
s
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:,
/A/Ay
/* o- r- c.
________________ v S r S
____________ '_____________________
tUL y-
yft, P'
/-'_________
Telephone
' (Form Filed By:) Return Tilled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019312
N/A 1791P
RECEIVED
JUL0 81987
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL
(LOCATION OF JOB:) PLANT. s, ' AREA*
, ZONE:_______ BLDG:
UNIT:
JOB SUPERVISOR: ft f > ^ ^ DATE JOB PERFORMED:
DESCRIPTION OF JOB:
r
^
LOCATION ASBESTOS INSULATION DISPOSED:
-.
(n ;
,> /
"V CzJjLuZ
jj
ESTIMATED FEET REMOVED: %f)LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): //;
Q, .
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up .(area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene .
Type of respirator used:
.
Half-face AO R57-A (HEPA) t Halfpface Wi1lsan .R-l^'lHfePA) '
Supplied Air-Full Face - Positive Pressure
` .V,,
Employie'e
trai'n* ed
for
respirator
t
in
last
6 . mo'nths
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:_____________________________________ ______________________
- -V ^
-Telephone :
, ' (Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel. - Bldg. 701/330
UCC 019313
YES NO N/A
___ L. ___ ___ ___
L/
_iZ___ jZ.___
JZ. ___ U ___
Z
RECEIVED
JUL 0 81987
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
M. A. PATEL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT 'O y t &
.
(LOCATION OF JOB:) PLANT i - AREA'/'
_ ZONE:_______ BLDG: K/K k UNIT:
JOB SUPERVISOR: % (3)^..
DATE JOB PERFORMED: 6//&'?
DESCRIPTION OF JOB:
gV/- .
P
2
/' 5y ,
LOCATION ASBESTOS INSULATION DISPOSED: Cru/F
ESTIMATED FEET REMOVED:
Ce S'
LINEAL FEET
/fEMPLOYEES INVOLVED IN ACTUAL JOB(S):
Jr
SQUARE FEET
S CL//r`<ri
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up ,(area housekeeping)
Barricades down (after clean-up only)
tmployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
HiWrtface- WUVsan,.R-12` (HfePA)
. ' ' '
j.
Supplied Air-Full Face - Positive Pressure
if'
. >I . '
(
fmploy.ee trained for respirato r in last 6 . months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 1? months
COMMENTS:.
....................... _____________ _ ________________ _
YES NO N/A u ly
.j/L u \s _s/
~ jy jy.
_lZ
J
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019314
Telephone :
RECEIVED
JUL 0 81987
ASBESTOS INSULATION REMOVAL AND DISPOSAL
M. A. PATEL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
S ciP-
(LOCATION OF JOB:) PLANT.;,
AREA
ZONE:
BLDG:^^
UNIT:
JOB SUPERVISOR: -fi f, Cp>
DESCRIPTION OF JOB:
S'
LOCATION ASBESTOS INSULATION DISPOSED:
^A
/r
DATE JOB PERFORMED: ft/ll /9? ^' / ' *- ^ ^ AV/' A &
At,
ESTIMATED FEET REMOVEO:
/g/)
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): f!jr, j^.WiCS
-4?/... cL.
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
YES
LS
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used
y
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
y
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment Area vacuumed
,.y
Employee showered before reapplying street clothes
Proper clean-up ,(area housekeeping! Barricades down (after clean-up only)
i.i Einployee(s) monitored by Industrial Hygiene
-j/ ,.jZ
Type of respirator used:
Half-face AO R57-A (HEPA)
Ha-l fpf ace; Wi 1 I san R-12* (HtPA) Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months '
i
'
1.
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: il
O-r
JL AVL
6 v!.s a
r7 / .
/ r. A " 7 s
_______ Telephone
' (Form Filed By;) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019315
NO N/A _
: ___ y
179 IP
RClVD
// ^
JUL 0 81987
ASBESTOS INSULATION REMOVAL ANO OISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
(LOCA1 ION OF JOB:) PLANT.;, - AREA
''7 7 _ :.ZONE_______ BLUG: ___^____ UNIT:
JOB SUPERVISOR:
___________________ DATE JOB PERFORMED: /',//&/$'
DESCRIPTION OF JOB: Q'/'rp'e A JZ
/&_ Z, aj^ /.*s .sk&cef.r'___
LOCATION ASBESTOS INSULATION 0ISP0SE0:
/A
ESTIMATED FEET REMOVED:
/<~LINEAL FEET
Jbu. A*S'-'n
SQUARE FEE I
EMPLOYEES INVOLVED IN ACTUAL JOB(S): fit
L A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only) : . !:t i.-
Einployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half,-# ace. Hi 1 Ison,. R-12`"(fife PA)
Supplied Air-Full Face - Positive Pressure it * - ' Employee trailed for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:^_______ 7____________ '
-_____________________
YES NO N/A
K ___ ___
LiZ._ ___
C' ____ u ___
___ es ___
___ ___
'
f <&***.'
^Telephone :
, ' (Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019316
179 IP
RECEIVED
ASBESTOS INSULATION REMOVAL AND DISPOSAL
J U L 0 81987
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LolWllfiFIfc JOB:) PLANT;. ' AREA
y .* * ^ _ ZONE:_______ BLOG:___
UNIT:
JOB SUPERVISOR:
_________________ DATE JOB PERFORMED: /n /) '-? 7
DESCRIPTION OF JOB: Trr
/: A , J --f
/. ; ZsZ*-
LOCATION ASBESTOS INSULATION OISPOSED:
ESTIMATED FEET REMOVED:
______________ LINEAL FEET __________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): s./P /=><; A
________
Ar .7.
b ' - > -t~ S- A__________
/?-rT Arfr.c ' r*-----------------------
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used Protective clothing used - boots, head cover, gloves, coveral Is
(
Uuter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes Proper clean-up ,(area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA) Halfpf ace; Wi 11`san .R-124 (HtPA) '
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:. / Z
>- ,
/ /,, ,
.
YES NO N/A
/
L--'
(Z
L'
z
-U-
j,
mL-
- `Telephone : , ' (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019317
RECEIVED
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
JUN 1 61987
^^^>A`PATEL
(LOCATION OF JOB:) PLANT X(
AREA
ZONE:
BLDG: 4 + .<? y UNIT:
JOB SOPERVISOR: f\,F CL*juC /tr*
DATE JOB PERFORMED: (p ~g- Zr 7
DESCRIPTION OF JOB: 5 +/. v p 't.s > a--------
/
LOCATION ASBESTOS INSULATION OISPOSED:
ESTIMATED FEET REMOVED: /
LINEAL FEET / 7 O
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): /?, X A g a 9+.
C I ^ C//^
' A-^>
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used ^ Protective clothing used - boots, head cover, gloves, coveralls Uuter coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplyiny street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Halt-face AO R57-A (HEPA) Half-,face Wi 1 Vson, R-12* (H'FPA) ' Supplied Air-Full Face - Positive Pressure
t i . i < * , I., ,
Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS^^______________
YES NO N/A 3*5
A-
U Ls j/
O'
- / zP
_____ ______ Telephone
(Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 ,, UCC 019318
RECEIVED
MAY 1. Q_ 1981 ,
A..S.-B--EST-O--S---I-N--S-U--L-A-T--I-O-N--REMO VAL AND..D..I.S..P..O..S..A..L. CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
' [/|. A. PATEL
/
(LOCATION OF JOB:) JOB SUPERVISOR:
PLANT^/^L AREA- V _ ZONE: ________ BLDG: ______ UNIT:
/.AluSOiJ DATE JOB PERFORMED:
5-J > '
DESCRIPTION OF JOB: d4/hP
/*J '/&/n<-.* L f/:M
LOCATION ASBESTOS INSULATION DISPOSED: XX /% +
ESTIMATED FEET REMOVED: / S'
LINEAL FEET
///. C
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): -i > f 3 y ______
XI )kn/c
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
YES NO m
l\l\lrf
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used ^ tective clothing used - boots, head cover, gloves, coveralls
U' L-'
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed Employee showered before reapplying street clothes Proper c^fcan-up (tfrea housekeeping)
Barricades down (after clean-up only) Employee(s) monitbred by Industrial Hygiene
L^
Type of respirator used:
Half-face AO R57-A (HEPA)
Ha If-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained folr OSHA Asbestos Standard in last 12 months
COMMENTS:
-
(Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019319
Telephone :
179IP
RECEIVED
ASBESTOS INSULATION REMOVAL AND OISPOSAL
JUL 2 31987 '
CONSTRUCTIQN/SERVICES DEPARTMENT SUPERVISOR'S REPORT M. A. PATEL
(LOCATION OF JOB:) PLANTAREA-
ZONE:
BLDG:
UNIT:
JOB SUPERVISOR:
,___________
DATE JOB PERFORMED: 7-TV
/
DESCRIPTION OF JOB: LOCATION ASBESTOS INSULATION DISPOSED:
/L- A
ESTIMATED FEET REMOVEO:
/ /Q
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
r> iLr
i/Y.
As&
A
ALA SQUARE FEET
A/
S cS
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
'
Barrier tape used
*
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Uuter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
.. ' ,. .
I- . ; ,
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Wi1 Vsan;R-12` (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee
trained' for
respira. tomr
in
last
' 'i,,/ 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:, / f y c S --V. - j-____ <//- ^ ...... Ayi . C Sh c, '
YES NO N/A Jy U
_ \s
_ ,.lZ.
is
, ' (Form Filed By;) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019320
Telephone
7`J IP
I of 1
A00609R0 JNSULATION KISNOVAL AND DISPOSAL WPMVIWft'* K*WKT
l. LOCATION OK JOB;
fdo/
f.vJfr
2. DATE(S) JOB PBKKOBMEQ; /t?
^
to
J. DESCRIPTION OK JOB:
.... to. .... .
... , , r
A" / //'..< /______
3________ . ''' /V/'_____
--------------------------------^-------------- --------- -----------------------------------------
---------- --
<. AMOUNT OK ASBESTOS INSULATION INVOLED;
p 0
3'1 P.A__________________________________________
A3Z1S. LOCATION ASBESTOS INSULATION DISPOSED: , (r 0 /
______
6 employees involved; (If more pc* r nailed, use D<*cK of p4<joi
MA____ JJAyToU
S/A* ____
333?
/ TYPE or KESPJKATONY EQUIPMENT USED;
fii 3^3
u CHECK if INSULATION NOT WETTED DOWN:
CZJ
III) / ol
SUPERVISOR:
DA 4
UCC 019321
(
1 Qf 1
ft ,
MHHHRI JNSULATJON BMOVAL ANP PISPOSAL ; fVPMWWM'B IUHWIIS
u locatiom QE jobs
Ae.&Tfne.
ftl ?
2. PATscst job mrapngpi
S~ /3~~ ~ "S(dr
to ^ *" ((o ~~
3. DPSCKIPTION OP
to___________ i n imwi "^wr
S/rif) .. ftsh e.sfa.s--r>-f- p / tm >y> stt W 3 7
4. AMOUNIT OP ASBSTO0 IlfVlfATPN IHVOLBOt / 6/J.. . ,................................... . ,
_ ,........,r
S. LOCATION ASBESTOS ILLATION OISPOSBOi (rl/// A]*,s,lft>>s7 Lr, nt/ Fft/
C
6. UMPLOYfc'Pii iNVouveO; (If wur* npcMi are naadad, utta feck o( page)
JZXL__ Bn m. /&..
<JR /''`.Aa siV/e.r'
ZZZ2 7839
jjlft.___ft&as/frttpTiS: &M
.S3?
ftft... ftZ.a uJs> EX7V
-ftty. . (LcnsikJc. ftLL3I._________________________
I. TYPi: OP It Pit Pi UA'fOHV &QUIPNPNT Uiitl);
ftJZA.
U. CHECK IP lNiiUi,ATION NOT Wb'TTBD DOWN; J
CZ1
DU /OL
iiUPPHVii*t*oh ,ftjf.
1>ATK: _SjjJAZ-.&.<!.
UCC 019322
P*9* 1 of l
AffftSBBW ft
IWeULATIOH MBHOVAl* AND DISPOSAL WPfftVIfiMi'Ji HKWHT
i. LOCATION QK JOB;
..iic/rfi ac ----
.2 date(s) joa ptapogHso; .
S- /? - X6
w
3. PKSCR1FTION OP 40B{
to r. ( .......7-----
--SrJji.--/?.<jz$&s ,ait~____ /-&.1Z___ ZzmJL___
4. AMOUNT OK ASUKSTOfl INSULATION INVOLED: 1A l ,-l -fi f
LOCATION AiiBKSTOij INSULATION PI8K)6EPl fi~,j
M/!,JSi f* 1 r-X LftrlJ A///
.6 KMPUwetis involved; (if mure pc* r needed* uee PcK of page)
T,F- Sa *rip ft ,.
tr C. Aa
y
3S3? ____ 7 St#-
Rf $?.iu/e S........... ....... 7Jt7S
Rft. q//iJg r?/S
___ -/fy*
JSs.
--f?62
Tm: i)|-` HtaiM KATOKY (sgUJFHKNT USfc'P;
f?$/A
. CHUCK IF iNtilil.ATLON NOT Wt'TTKP POWN: J
Ij / o i
iUPUKVJSOK PATU:
UCC 019323
/9~Zl
( pgt l of i
a,
MAMWIf flWUMVION K8H0VAI* AND BJ8*OSAfc ' U*IVS|MRIN WKHM9
1. LOCATION OK JOB; 2. DATE(S) JOB PERKOgNgP;
, fifc e //9 sr- 2J> - &t:.
to , In n _._...
3, DESCRIPTION OK JOty;
----------- ^
tQ n ..... .,
__ a,/~, <Z.,../a./f,. , ,,,,,r
4. AMOUNT OK ASDESTQg fNWUTXON INVOKED: Jfg L,
S. LOCATION ASDESTOS INFLATION PI8FQ6gPl C%^/f
J /-///
6. employees iNVOLVEp; (Jf R)ur pc0 r n*cted, u Pack of paye)
-J3.&
zu /cr .5.
............... -ZfijP 7(2
-HjS. (KAujuJ7Cjt7/?3 7
P 77__ S'rt/ic/prsf <-<
78 76
/?/?,
h du/a j'z/^Z.S7SC'
JijLSamfuuiaJtL.________ 3#31
a & Hyp e. s.1AA1
JE.n. Ma/nyd.'1223
/. TYPE OK UESIMUATORY 0OUJPMENT USED; Cq> n
-v?/W.... ...... ................................................. _
d. CHECK IK INSULATION NOT WETTED DOWN:
\
(it)/ oi
|.... 1
SUPERVISOR:. .7
9d(f+ 4Q-
date : S~~z2.2<> - J7
UCC 019324
f>9 * of i
ftiKffBsew ft
,
MttMTRf JEMULATION KKMQVAL AND DISPOSAL
wmv**' uwm
l. LOCATION OF JOB;
ft 0. <t
2. DATE(ii) JOB PEBFOB|Q| _ S'- 2 ( -2/.
to
3. DESCRIPTION OF JQD$
a. . -......... ............- ........ ... ..... .......
to
--/>/./)--/f..jj Z?, sr
K/en____rtf, , (P'SY
. AMOUNT OP ASBUSTOS JNfiUfcATION IMVOtEOl
L,,r -Pf~
S. LOCATION ASUtSTOS INBVLATION DiaPOBBOi
M ft,
i ,j 4*
/-,'//
o. employees INVOUVEO; (If ora iipacoa uttt needed, uee Deck of pay a)
JT/?y /tJiainc//e j'
I&iJzL
JR/T/. Saxc/yj:ussTJLZJk.
JU___/i.afludrx&C.
1S
JLZ___ <L& m r
________ 73.lL
/. TVIM: UK RESPIRATORY EQUIPMENT USED; u. CHECK IK iNiiUI.ATION NOT WETTED OOWN:
I
UU /oi
HSim.
CZi
SUPERVISOR: /? PATE: /T" fl J -
UCC 019325
------
P9 1 of 1
JN0ULATION RWfOVAL AND DISPOSAL HKWMT
X. LOCATION Op JOBi
2. PATfcXS) JOB PgRPQjMffQ; 3. DESCRIPTION OP JQB{
^^,lll.
1?A
to to
------------ S frjn___ 79 <zAf>. c/n s ZX>
^ kt <T ,/^J.X foy?
4. AMOUNT OK ABBISST08 INSULATION INVOLEO: / S'(7 ` 1 irt<2t>r AT
> location asbestos insulation DiawsBPi <W/ M* *T* H
F,'//
6. employees involved* (Jf pure eptcee are neededr uee Pack of p<uje)
P.H lTy\ 6 /rv?4 *'X JR (1 kasic//&i'.
sify/z
. Xy ? v
m.. if w. .... ys'
.......... .. . _ . ........
7. TYPE op RESPIRATORY fiQUIPHENT USED; Cli/t<>/Zr P. ?//?
i. CHECK IP INSULATION NOT WETTED DOWN: i
EH1
tur/ti
SUPERVISOR DATE;
UCC 019326
P990 1 of X
<|OTCgT ft
A88ftfflR# INSULATION RBNOVAL AND UISpQSAL fUWfcyijWtt'N hkwmt
1. LOCATION OV JOB;
2. uate(s) uop mPQjMUUH
tT-A.? - gf. .... ,
3. DESCRIPTION OP
__Sf'/'/ir'*__ /9
_s, Y* S'___T^^ca /n_Z?i> +A af'
/ ...... " " --------- ---- ------ ----------------
4. AMOUNT OP ASBESTOS INFLATION INVQLED;
to to //>? / /**
_2L_
. ' < J
*>. LOCATION ASBESTOS ILLATION PIBPOSSOi Gru/f-
Jq
lifrts/ /7//
6. employees involved; (jf nor# Mp4coo #r# n##d4< u## pack of pay#)
7?#-- .......
JlJL--.dh)a, ______ ZST.JTe
V. TYPE Op KESPIUATOHY EQUIPMENT USED; CartlTtr /? ?/ /f .
U. CHECK IP INSULATION NOT WETTED DOWN: )
cz]
iiu / jt
SUpEKVISGft:
DATE:
~ ^3 " %
UCC 019327
X of X
WPIT *
^ULATiON KSNOVAL AtyQ OlflKOSA^
' WKJIIVIWft'Ji KRWRT
l. LOCATION OK JOBS
rtv*z/ertsL... jb2%.________
. (1A/2 DATBfsf JOB KEHKOJMffD:
/.'?tp
..... ...... "f"wypy^ww
1. pt'BCHIKTXON OK JQR|
,,
____________^ K>
")........... "''TWir'
M&j'p--A sAes/Z* a. ff //>.3 7 77?aid_____
4. AMOUNT OK ASBESTOS JM01JDATIQN IHVPBEO; /? Pfi *?)/) .22/^
-Qr.u/f Mtuji fg /tv,LOCATION ASBESTOS INSULATION DISROBED;.
C o. employees INVOLVED* (It pore upoeeu ar n#ttde4 utfo Lack of pag)
SiAi ftf>uj /&s
YK 1Z>
_______________________
-J,/?.. haM^/&jr_____ 72J.ff
TXJj______ /g'/hPSa si \~i<3 yf
JUL______a/tM/r sds~f.2S'`P..,.
P,y. a2sfao./<
79 6 f
__________________________ _
____________________ _
A.l
da/. ,'s. dii- 7S~/JL ___________________
f/L
I. TYPE OK UESP1LATOHY BQUIKMENT USED: U. CHECK IK INSULATION NOT WETTED DOWN:
RJ/.A.
CZ)
UU7l(
SUPEKVJSUH \/_L
DA T,: 2/o-2G
UCC 019328
J of I
A30f#W0 INSULATION REMOVAL AND DISPOSAL SMPWVINOB'S KBWW?
1. LOCATION OK JOB;
.2 DATE(S) JOB PERKOBNBP;
Old* **f____ /VAf^7Zl 72*
d-r-M ........................................ to
1* DESCRIPTION OK JOB;
to
~^jP/PP/Pj /ds/f^ToS /KPc//a7/oa^ iCd'o/h /03? '7'tyyj:
4. AMOUNT OK ASBESTOS INSULATION INVOLBD:
*>. LOCRAA'jTION ASBESTOS INSULATION DISPOSED; U~ty/~r
/ntx/AsP s$-/aJ
6. employees involved; Uf more epecee ere needed, use UecK of page)
fi k SAleJal/ibSS - 78 7/^ ________________________
^f). t'Jd%7 -
7tf~> O
'> mmTi ?K7 / ?
YY
7^y--
Q/jdlL >9 &?
/. TYPE UK RESPIRATORY EQUIPMENT USED;
U. CHECK IK INSULATION NOT WETTED DOWN; 2
nsr
ilu /ot
SUPERVISOR dKte
UCC 019329
X of X
Mwaww-A
,
JNSULATJON KKNOVAL AND DJ0POSAI. ' lUVMVIWA'i KMWt
'If
" iif
l. bOCATlON 0? JOBS
fic-Sftptfl*
Blfti
,.................
2. DATEtSI 40b mfOMUOS , ft)AX. /<&-
CO
J. PBSCRmiON OK JOB 2 t
' "r ,rTI' 1 """"' " 11 '
'
CO "' "" T' ` '"" V
Stain As4^P^.c q ~ff //) 3 /
T7\A)M______
. AMOUNT OP AUDKST08 INflUbATlOM INVObED: /) PP &f)/) -TX' JZecZZ..
S. LOCATJON ASBESTOS INSUbATION Pl8fOSeBs_ &u/f ftl0lift /ft / A/ ,
i>. iNvouvtSO; (If >ur upacti) ar needed, uee back of pay)
R,&___ ft/uv /&s
Yfi 7>
_______________________
_J ,R.__ft Ma/vc//&.r
7X3? __________________
_21____SirtofS**
________________________
&A-._____EftUltf.fftt___/ftSft
_______________________________
. ft-y. GfirtstacA 7?&?___________________________________
JtkjLl Me. i'!n// <*.7g /-- ~/ft~/ ,2-
________________________
7. Tm: OK KKPKlUATOKY pQUIPHKNT USED:
R J / ft
u. ClltvK IK INoIU.aTION NOT HtTl't'D DOWN: t
II U / ot
UUPUHViSOU: DATt`:
UCC 019330
RECEIVED MAY 2 81986 M. A. PATEL
ATTACHMENT A
ASRESTOS INSULATION REMOVAL ANO DISPOSAL SUPERVISOR'S REPORT
1. LOCATION OF JOR:
W& 1 qi A/r*
u ur
2. DATE(S) JOB PERFORMED: &
3. DESCRIPTION OF 408:,
to
AsArsTa*
/XJj/XaTAsiX7 ----------------------7------ *---------------__________________________________________^
INVOLVED!
XPP- PIS Sr<'<?7^-
h. AMOUNT OF AS8ESTOS INSULATION
/z'1 P/pr
/
5.
6. EMPLOYEES INVOLVED: (If mor tpc pro n*dd um Luck of pg)
Xp. ?Wz. ___________
7. TYPE OF RESPIRATORY EQUIPMENT USED;
/? 9/A
a. CHECK IF INSULATION NOT WETTEO OOWNt tm_____
UCC 019331
f
..... : `VV :
J . r . :
^ 1 **. -ws* p;:w*> ,tv 'v^n^-wr.
TY^ii UP' ** M*`W iSlt ' ':,-:-vT1 m'?
i
UUVpl
? $*p&;
** " '#&
";;:'"K'"fti|pl|3fw
/'%.Llr*H'!Ly"W<XHltrPk, *,.,-'<' '
'.-#'/ . ' '
i '* !
UCC 019332
,.; ;;v A'tillf;'ilftliS
V'UfHj.-, ' . ' '. I-
-V* t
t!- :. r. f
. fy
J ' IV ` if .' s.'*>''
A rVf/'->*-V " v
'i'! _ , .- ...
: 0CT O2;:i8a ?||fv
[ i'* wp,yn.y..
( if'1 VM`U>it:z iNvui-vtiDi ||f wuro
ti*u.4, u UtH of
' fiSXsAS?r- 7<r7J^.33
- 1
' p imp, i n i a i
-
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*w. ly-.'.'vj
-y. s~y
'Trr^ .i7r ". f Un.-
tt
*VT!"g!
6' . ^.*`r
*-v. it'
7/T;Tm: uf ut^l'iiiATOHt pgifipmtftT UtitU; %'/,,'.
Ai/l
U, Hr'U^kK JK INuUl.ATIUH MQT
;!:::^
'
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CD
W' UATt;
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!.. sfV-;*-*y;i,
TW*. ;? ..
,
^i
f ,<*? -;r^:
: ' *.v'i ^iJ '`J'.T'TV-V` '
^nn
UCC 019333
*.' ).
"O J'il i-
.
W* l #f \
:* / /*
:-i,**k t.
'tu'\Po:r*MMMW IMaULATlON KJM0VAI. Mffl (tItfOt)A(.
' V'1. 1, fcp^ATiOw Qy jam
?/4buj>'
j.;
elJ,* 9>v'ir
f /'
j'fcffciffiKHiWlUH M 4Q||
T',f" -- 11^P*'i I MB.^ \t AMOUNT 0^ AiiUtiiiTQtJ
' " . ^ '
*v'^ ,i.:
-- to , t0
" 11" 'WW
jS^jj^PW/ VSJ5B;ff-i
..... ...... ....
. \/,f ,, .itMK* t--ZZ.
*. "UUCATIUN AiilU^VUJj JIBUTI ON P^WWUI^^,
------- is9// /at\, , 6Atdd$f/
( t. tMi'WJftfi;:; lUVtJLVttOl (|f IMUf* Mptli** ** n**l4*0# U# UMUH Of
4 fi.o &OK>/<rs -J~y&7&
________________________
*-->.jff/ j5^^css ^ ys'S.X
... ,:.','ilj //q^IaSc/ - -;v::
. ^-it-
80S/
_____________ ___ ________ _
,JV ..,,v
mm**""
. TKH: i>r wtiii'l uaTOHY (HiUU'NtfllT Uftit'P:
/r,':J:q:t::' ..
1*. ';Cu^cK ir 1 wwUt.ATlON NOT #m#0 OU#N;
' ''
I
.
OU/KI
____ J|
tiUfc>t:MVl;>OU;.
UATfc';
fOCC 019334
i4414;':4
. V. ;^yv!\' Ar'w
.. w'.'Ks'lfr'ieV-liulj vr,**
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. . . .' ' 'rt+Y .fi :;.. u* *-'*.
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Page 1 of 1
ATTACHMENT A
ASBESTOS INSULATION REMOVAL AND DISPOSAL SUPERVISOR'S REPORT
1. LOCATION OP JOB: 2. DATE(S) JOB PERFORMED: 3. DESCRIPTION OP JOB:
gr<
--f---------- 7
4. AMOUNT OP ASBESTOS INSULATION INVOLED:
to to
5. LOCATION ASBESTOS INSULATION DISPOSED
/
6. EMPLOYEES INVOLVED: (If more spaces are needed, use back of page)
&. l"SL-
7. TYPE OF RESPIRATORY EQUIPMENT USED: 8. CHECK IF INSULATION NOT WETTED DOWN:
0 0 7 61
UCC 019338
ATTACHMENT A
ASBESTOS INSULATION REMOVAL AND DISPOSAL SUPERVISOR'S REPORT
I . LOCATION OF JOB:
//?^l-- /olyJZ'
____
.2 DATE(S) J08 PERFORMED:
to jL9-g-1/,%>
3. DESCRIPTION OF JOB:
/(-'irri'S.*' & f2tr.:7ix /a/s&
k. AMOUNT OF ASBESTOS INSULATION INVOLVED: /# l,'A/. //T .?//
3!?05. LOCATION ASBESTOS INSULATION DISPOSED
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/ 2^ fir'/ve/L di rff
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7. TYPE OF RESPIRATORY EQUIPMENT USED;
_____________ _
8. CHECK IF INSULATION NOT WETTED DOWN: ------------- ,
SUPERV I COR: DATE:
(Sj'U 'M. rsJ
UCC 019339
Page 1 of 1
ATTACHMENT A
ASBESTOS INSOLATION REMOVAL AND DISPOSAL
SUPERVISOR'S REPORT
--
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_________________________________________________________ ______ __ /
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7 TYPE OP RESPIRATORY EQUIPMENT USED: 8. CHECK IP INSULATION NOT WETTED DOWN:
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SUPERVISOR^ LA^
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UCC 019340
page 1 of 1
ATTACHMENT A
ASBESTOS INSOLATION REMOVAL AND DISPOSAL SUPERVISOR'S REPORT
1. LOCATION OP JOB: 2. DATE(S) JOB PSRPORMED: 3. DESCRIPTION OP JOB:
Jo?
5
to "6 to
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4. AMOUNT OP ASBESTOS INSULATION INVOLED:
% /L+ldt*S
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6. EMPLOYEES INVOLVED: (If more spaces are needed, use back of page)
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7. TYPE OP RESPIRATORY EQUIPMENT USED: 8. CHECK IP INSULATION NOT WETTED OOWN:
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SUPERVISOR: U.
UCC 019341
AREA ___ /
MAINTENANCE CHECKLIST FOR ASBESTOS REMOVAL/PISPOSAL
ZONE
3 07
BLDG
3<Jl UNIT
DATE_
JOB DESCRIPTION
ESTIMATED LINEAL FEET REMOVED
JOB SUPERVISOR V .//7 . ^/c^s-gjST^~
NAMES OF PEOPLE INVOLVED IN ACTUAL JOBS
J), c$-pjL / Kn ^
Plant 514 Hygienist Notified
Plant E.P. Department Notified (large jobs only)
Barrier Tape Used Warning Signs Used Protective Clothing Used Coveralls Changed Daily Respirators Used Drop Cloth Used Wet Down Area Proper Disposal - (Bags to Dumpster Sealed or Wet Down Proper Clean-up (Area Housekeeping) Barricades Down (After Clean-up Only)
' YES
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COMMENTS
Copies
1. Area Safety File 2. W. C. Young - Safety Dept. 3. B. P. Johnson - Trucking
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UCC 019342
April 1984
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UCC 019344
M
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RECEIVED
OCT 1 4 1986
M. A. PATEL PW l f I
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UCC 019345
RECEIVED
OCT 14 1986 M. A. PATEL '
J ( 1
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JN0UI.ATION RIMOVAI. AR0 PlfifOSAB WmVMtM'# RWW*
1. LOCATION QK JOBj 2. OATt'U) JOB PtiJif0MU|f9t
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UCC 019346
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received |/g5
OCT 0 9 1986
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RECEIVED
OCT 0 9 1986 .
M. A. PATEL' , ''
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miUW UULAT|ON UMOVAL A*p PI|if06AI" mmim1* n*m
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UCC 019349
RECEIVED
JUL23 1987
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
M. A. PATEL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
/'
CcJXc
LOCATION OF JOB:) PLANT /V2. AREA
ZONE:
BLDG: Z UNIT:
JOB SUPERVISOR: ^ f (%f2UZL DESCRIPTION OF JOB:
2,
LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED: ____ Vfi
DATE JOB PERFORMED:
i C. & ,S?1 A,/
J2ruj}'----/V JJ-
LI NEAL FEET
___
2l/LlRJL SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
,<U JyAv-,
L. jr.cr..
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Uuter coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes Proper clean-up ,(area housekeeping)
Barricades down (after clean-up only)
. ` * -.
I , !,
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA) :
Halfr11-iface' Wi 1 I* s.on, R-12* (HEP, A)
,.
Supplied Air-Full Face - Positive Pressure
*L '
M -'
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:^________Z____________ ___ ____________ _______________________
YES NO
cXY
JZ.
i/
N/A
1/
\y_ L'
D L-
, 1 (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019350
Telephone :
RECEIVED
jyi 23 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL ---------------- -------------------------------------------------------
/'
(LOCATION OF JOB:) PLANT.;. - AREA-
_ ZONE:________ BLOG: let
UNITC&dAeS'. j
JOB SUPERVISOR: 4?.(*
________________ OATE JOB PERFORMED: ?-/ Q,
DESCRIPTION OF JOB: q ^
^ A.'a^ y t
LOCATION ASBESTOS INSULATION OISPOSEO:
(j,, //^ ^ ^
2.a. a J
J.
ESTIMATED FEET REMOVEO:
3SLINEAL FEET ___________________________________ ___SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): . X Ap/i?','
C, J? AJ/ V
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible? Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
,
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes Proper clean-up .(area housekeeping}
Barricades down (after clean-up only)
; . '<
V.
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA) HalfHf ace; Wi 1 Ison. R-12* (HtPAj '
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
i`
1
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:^_______ ________________ *
-
_____________________
YES _N0 N/A ___
___ Ls ___ ...
___
___ juL
^F
, ` (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019351
^
Telephone :
RECEIVED
JUL231987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCT ION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL (LOCATION OF JOB:)
PLANT . S/! ^ AREA-
/' _ ZONE:________ BLDG: 9 <7
UNIT:_______
JOB SUPERVISOR: if?, g
___________________DATE JOB PERFORMED: 7-/V~? P
DESCRIPTION OF JOB:
<-/ /^v=> L
LOCATION ASBESTOS INSULATION DISPOSED:
/^-
A ^ X-
ESTIMATED FEET REMOVED: #0LI NEAL FEET _____________________________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
_ ___
/? J*>.
O & A-__________________ ___________________________________
~
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible? Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
'
Employee showered before reapplying street clothes Proper clean-up .(area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Wi1 Vson R-12* (HEPA) Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
i *.
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:.
, /; v.. // - , / ^
YES NO is
iZ--
IS
iS
-AS
GJjII
/ V'/r;
' (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019352
Telephone
N/A 79 IP
JUL231987
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
M. ft. PAT-L CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:)
JOB SUPERVISOR: DESCRIPTION OF JOB:
PLANT i-// P
/'
AREA' '
_ ZONE:________ BLOG:
UNIT: CeJJ^
______________ DATE JOB PERFORMED: ? -/ 3 -S' ?
%
/./i^ *;_______________________________ '
LOCATION ASBESTOS INSULATION OISPOSED: .
ESTIMATED FEET REMOVED:
______________ LINEAL FEET _____________________ ___SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): S/P.
C. f
0 )v. /iseCfAsiy_______
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
barrier tape used
Warning signs used
f Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes Proper clean-up ,(area housekeeping)
barricades down (after clean-up only)
. ' \ .
i -, :,.
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Wi1 Vson R-12` (HfePA) -
Supplied Air-Full Face - Positive Pressure
' ll>
.M
. >'
, I,, ,
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for QSHA Asbestos Standard in last 12 months
COMMENTS:, /rY/Vy-
?vW/r 7
at,si
YES NO
--
___
u u
_-jL_
:--
(fa y-j r, ,___________________Telephone : ' (Form Filed By:)
Return filled out form (original) after completion of the job to: M. A. Patel - bldg. 701/330
UCC 019353
N/A
JUL 2 3 1987
ASBESTOS INSULATION removal and disposal
M ft po.JEL COWSTRUCTIOH/SERVICES DEPARTMENT SUPERVISOR'S REPORT
` /
(LOCATION OF JOB:) PLANT.AREA-'
_ ZONE:________ BLDG: 9 q
UNIT: CrJ-Ur
JOB SUPERVISOR: C:
___________________ DATE JOB PERFORMED: t 7-/3 -ey
DESCRIPTION OF JOB: -//p S'/e a sn. .
/r AloS J ____________________
LOCATION ASBESTOS INSULATION DISPOSED: fop/t
A-jJ.
ESTIMATED FEET REMOVED:
90LINEAL FEET __________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): Sfi
S < ss<< .
~Ci __/f&s._____________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up .(area housekeeping)
Barricades down (after clean-up only)
Eiriployee(s) monitored by Industrial Hygiene
lype of respirator used:
Half-face AO R57-A (HEPA)
Half-face W11l>n,,R-12`':(HfepA)
Supplied Air-Full Face - Positive Pressure
M > ** (IM/
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last \2 months
COMMENTS:
____ fa.Ay.____ dt'd shn .
YES i/y ___ ___ ___ ls
t/ ^ __
u
l
V-'
u
Ls'
Return
filled out
form
(original)
/f? / ------
--*Tt~"\ :------------)---------
(Form Filed By:)
after completion
ot the job to: M. A. Patel - Bldg. 701/330
UCC 019354
Telephone
NO N/A -Lil. 1/
1791P
RECEIVED
JUL2 3 1987 w A pATEL
ASBESTOS INSULATION REMOVAL ANO OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
(LOCATION OF JOB:) PLANT. %
AREA
JOB SUPERVISOR:
<2-Uj
DESCRIPTION OF JOB: s/s;7^ LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED: ^gLINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): sP.
/
ZONE:
BLUG:
DATE JOB PERFORMEO: *)~ / p
A.. /A
A'<-
UNIT:
o S'
SQUARE FEET
Plant 5U Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes Proper clean-up (area housekeeping)
Barricades down (after clean-up only) . !:t i. .
Employee(s) monitored by Industrial Hygiene
, '
.
Type of respirator used:
Half-face AO R57-A (HEPA)
Halfr-face Willson,^ 12* (HtPA)
Supplied Air-Full Face - Positive Pressure " I < * (r, t Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 1? months
COMMENTS_______________________
YES NO N/A
_k_
/ ...Lr-'.
/ ..
c-
la
-A" '/> __________________ Telephone : ' (Form Filed By:)
Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019355
RECejVfcD
JUL231987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. A. PATEL (LOCATION OF JOB:)
PLANT, s -
. AREA-
7 ZONE:________ BLOG: 7-?
UNIT:_______
JOB SUPERVISOR:
___________________ DATE JOB PERFORMED: 7-
g>7________
DESCRIPTION OF JOB: C-V,;/r ,r.A -v?
sr, A ,'*-e. s //^
-C/> /C~
LOCATION ASBESTOS INSULATION DISPOSED: 6<./
A'//,
ESTIMATED FEET REMOVEO:
_QoLINEAL FEET __________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): &.
/>, ,,.<y
T
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed?
Use of Glove Bag feasible? Barrier tape used Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
, ' ,
1 : , . :,
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA) Half.-`face; W11 lW.R-12""(HfePA) Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
t/
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:.________^______________ ________
YES _Zj
NO ___
N/A
JZ.
-Jzd
-U[y 1/
l/ 1/
\y
' `iP. ?
__________
' (Form Fi led By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019356
Telephone :
received
JUL23 1987
M. A. PATEL
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
/ /y ^
5-
(LOCATION OF JOB:) PLANT
AREA
ZONE:
BLDG:
UNIT:
JOB SUPERVISOR:
'--r' sa
DESCRIPTION OF JOB:
,,fiJr/z A,
LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVEO: /
J DATE JOB PERFORMED: ,7jiZr-2-
7 P // / ^ v
A
/^.... /2'S.a*____ 7^2.L-L. / , LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): r .ft C
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible? Barrier tape used Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) *
44--
t/
u -U-
y
barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
IS iS
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Wi1 Vsan,R-12` (HEPA) Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
s
COMMENTS: ,_7.
r
___JteJuy____ ,/?' ^ S'JJ 7 XS -{&JL2_____^ 4.
NO
-4? 0
_________________ telephone :
' (Form Filed By;) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019357
N/A
RECEIVED
asbestos insulation removal and disposal
,, ^Qgy CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCAWdkt PE!iOB:) PLANT ;, - AREA'
_ ZONE:________ BLDG: 7 1
UNIT:
JOB SUPERVISOR: ^
.
DATE JOB PERFORMED; 'y-&` S'?
DESCRIPTION OF JOB: 9,/V/,,
aJ
ArK
LOCATION ASBESTOS INSULATION DISPOSED: &L/JA.___/V/a-______ Art yL
ESTIMATED FEET REMOVED:
0LINEAL FEET
SQUARE FEE T
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ^
. JL G ftj f.__
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
-jt
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used f Protective clothing used - boots, head cover, gloves, coveralls
cy
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping) Barricades down (after clean-up only)
^y
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA) , Half pface. WilVsan .R-12* (HtPA) *
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure)
i.
Employee trained for OSHA Asbestos Standard in last 12 months
/
COMMENTS:, /[
? J/ /r.-
_______ !________'h.&sf______ u,fed.
S7)
h/hy
f/-
r.. i
Telephone
, ` (Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019358
NO N/A 179 ip
RECEIVLD
JUL231987
M. A. PATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT v
(LOCATION OF JOB:) PLANT^5// AREA-
_ ZONE:BLOG:
UNIT:
JOB SUPERVISOR:
' ,.... DATE JOB PERFORMED: ?-? ? 7
DESCRIPTION OF JOB:
rj . -7^
LOCATION ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED: //) Q
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
----/T i A. '/'
. . ....... ...
Zz. *
LINEAL FEET "r'
('
J-JL /> a7 j-- SQUARE FEEl
r ,-A
YES
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
JuL-
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
\S
Employee showered before reapplying street clothes Proper clean-up .(area housekeeping) Barricades down (after clean-up only)
l/ y
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half^face Wi1 Ison.R-12* (HtPA) Supplied Air-Full Face - Positive Pressure U' ) . i ' , 11,, Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
_lZ
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENIS:
/ -d//(r-___ JVW.-:
X-
ZJ2S.
n
r~V J Telephone
' (Form Filed By;) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019359
NO N/A 79 IP
RECEIVED
ASBESTOS INSULATION REMOVAL AND OISPOSAL
jUi 2 31987 CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
(LOCAlW)* OF^JOB:)
PLANT
AREA
ZONE:
/ BLOG:
r UNIT:
JOB SUPERVISOR:
. .A
DESCRIPTION OF J08: S/?ask
location ASBESTOS INSULATION DISPOSED:
ESTIMATED FEET REMOVED: sort
OATE JOB PERFORMEU: _ o - ^ Al
. ...iAi_____ g____21'.
A______________ _J" A.A.,.d..
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
sOk />?//
Ci $
______ _______________________________________________________________________
__________________________________________________ -
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
YES NO
Negative pressure enclosure installed?
Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed
__ --U
..IS IS u (S
Employee showered before reapplying street clothes Proper clean-up (area housekeeping)
Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Ha If-if ace Wlllsan, R-12`(HtPA) '
t.
Supplied Air-Full Face - Positive Pressure
i` * < ' i ,,
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
l/
COMMENTS: . 5Vc A ni kj'jy.* . Od>s /^ n <' &
7/y S s P n
__ Cs>-Ll..... <?- -^-7^/_______ Cl.. .? s sssz_____________________________
. -/'..c'" --Fri,-------- --
Telephone :
(Form Filed By:)
Return filled out form original) after completion
of the job to: M. A. Patel - Bldg. 701/330
N/A 179 IP
UCC 019360
iOa/<c uy/s /<??
/Ae a.y// v*e.
e tfs c/se
/or*" e
. u<u. ,v^/
(/<,# A-A
Qf/ds
/acA
tfASd o-i AAJj/y, d>&
-C/9vs
a Sa /V Ay
^utc/er
<^as
//?' l/ois/t d .J&'C40S Q f C&i/es's'^p.
of
AA
oz/df Sac A
//V Ai , ^Ay A A
Zaa'A
c^a/'s
stA A 7> `wdj J/^d
.
AA -e
APAa AH/r -f
<> Y > <d & /A S
,
Co / peAf/v-t... /m$cuy -,/n <T GfftJatm
UCC 019361
RECEIVED
ASBESTOS INSULATION REMOVAL ANO OISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANT ;. - AREA-
_ ZONE:________
JOB SUPERVISOR: ^p
, DATE JOB PERFORMED: /,-/2 - ?
0 Y/ BLDG-./foeM
JUN 1 6 1987
M. A. PATEL UNIT:
DESCRIPTION OF JOB: CS / / ?
y p -p ~ o ,S o
LOCATION ASBESTOS INSULATION- DISPOSED: fZ. /f
'A< S / 1 a ^ J A, '1 /^ '
X & d yt'*
ESTIMATED FEET REMOVED: //,/)LINEAL FEET ____________________________________
EMPLOYEES INVOLVEO IN ACTUAL JOB(S): fjCoy^___________
/?
SQUARE FEET
c> &
__ -SYm- /<- g_______
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplyiny street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Halfpface; W11 Ison R-12` (HEPA)
Supplied Air-Full Face - Positive Pressure R- . . v,, Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:,________ ________________ `
-- _______ _________
YES NO N/A ___
___ L/ ___ l/
___ ___
L*r
: ttLf.^
, ` (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019362
T e 1 ephone
1791P
received
ASBESTOS INSULATION REMOVAL AND OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
-------------------------------------------------------
JUN 1 61987
M. A. PATEL
(LOCATION OF JOB:) PLANT '. - AREA' '
ZONE:________ 'ilZZjZ UNIT:
JOB SUPERVISOR: ^^ Apt ^ ^ DATE JOB PERFORMED: /,,-//-%?
DESCRIPTION OF JOB: *T tr', jp >? <T/o S A / n Y / rljf Aa c ^ 'J &c.Ar?r A / ^ .
LOCATION ASBESTOS INSULATION OISPOSED: /C,,,/A,
-Q- Xa!A A. > 4-
ESI 1MATEO FEET REMOVED: A?/QLINEAL FEET ___________________________________
SQUARE FtEI
EMPLOYEES INVOLVED IN ACTUAL JOB(S): & rT
c-V
tfk JsJcl$*ASS
LdL_C Jcrsi
____ __S
k/a, y______ :
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
barricades down (after clean-up only)
Einployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson.R-12* (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:^_______ ______________ ' ' '
____________ ________
YES _N0 LS} ___
___ ___ ___
JZ. ___
N/A
u Cs JZ jZ
jZi/'
-JZ'
___ ___
__
_ ___ ___ ___
___
jZ
-lZ.----/
i atTwA f________ , 1 (Form Filed By;) Return filled out form (original) after completion of the job to: M. A. Patel- - Bldg. 701/330
UCC 019363
Telephone :
received
ASBESTOS INSULATION REMOVAL AND DISPOSAL
JUN 1 61987
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT ( /OX id* M. A. PATEL
(LOCATION OF JOB:) PLANT ^ 7 A AREA-
ZONE:
BLDG:
UNIT:
JOB SUPERVISOR: id,/D(V^r
DESCRIPTION OF JOB:
//
LOCATION ASBESTOS INSULATION DISPOSED:
DATE JOB PERFORMED
&2&
A J' AfJjy....... ./j 4 C
ESIIMATED FEET REMOVED:
/
LINEAL FEET
___ SQUARE FEET
EMPLOYEES INVOLVEO IN ACTUAL JOB(S): C,
fa
:asj.......
JZL cL.
,
. *v-cL<Ldkj&.
YES NO
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible?
--V ___ -----
___ JU
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up .(area housekeeping)
__ U' ___
Barricades down (after clean-up only) Einployee(s) monitored by Industrial Hygiene Type of respirator used:
_JZ ___ -U? ___
Half-face AO R57-A (HEPA)
(/
Halfnf ace; W11 I son, R-12` (HfePA) Supplied Air-Full Face - Positive Pressure if* ' Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
jX..
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:.
'____________ ' ' __________ ________________________
J
(
jfd. fi&kdZ, ___________
Telephone :
, ' (Foi4 Filed By;)
,
Return filled out form (original) after completioh
of the job to: M. A. Patel - Bldg. 701/330
UCC 019364
N/A ___ -----
___ ___ ___
ASBESTOS INSULATION REMOVAL AND OISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
KtCEIVED JUN 1 61987 M. A. PATE
(LOCATION OF JOB:) PLANT /%- AREA-'
_ ZONEn.YVjL, foliBLUG:________ UNIT:
JOB SUPERVISOR: ^
,, DATE JOB PERFORMED:
fn- 9 - 87
DESCRIPTION OF JOB: 9^ aj
'l "
SJ-nn*,
<r
LOCATION ASBESTOS INSULATION DISPOSED:
(,,, /f /v> f ^
d f/X >C
ESTIMATEO FEET REMOVED: / QLINEAL FEET ________________________________
SQUARE FEE I
EMPLOYEES INVOLVED IN ACTUAL JOB(S): J2 X Aa^ J: -------- /f. Ai___SjijlJ... a **/*$- <? <r
C A C/ff- d
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up ,(area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
HalfHface; Wi 1 Vson,.R-12`(HEPA)
Supplied Air-Full Face - Positive Pressure
IT
> - * i,u
Em- ploy. e;e trai"ned for respiratoi r in last 6 mo nths
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
C0MMNIS:_________ ^____________ ________
YES NO N/A
jy (/ id \S ___ ___ L/ ___ ___ _ jy _
i/
' y (f
i ' (Form Filed By;) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019365
^
Telephone :
RECEIVED
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
JUN 1 1987
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
a. PATEL
(LOCATION Of JOB:) PLANT J^/2- AREA-
-JL' ^ _ ZONE:________ BLOG:-f*cA. UNIT:
JOB SUPERVISOR:
/T Cn
_____________ DATE JOB PERFORMED: ^
DESCRIPTION OF JOB: 5s
-A /' 5/ CA- s-sl
LOCATION ASBESTOS INSULATION DISPOSED: 0, ,, /f
^ __________________ A; Vl ~C
ESTIMATED FEET REMOVEO:
/ __________ LINEAL FEET ___________________ SQUARE FEEI
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
A<p ,, T / /
S'. A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible? Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed
Employee showered before reapplying street clothes Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Hatfpface Mi l lsan, R-12` (HtPA) ''
Supplied Air-Full Face - Positive Pressure if" Employee trained for respirator -in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:,
____________ ________________________
YES NO N/A is
..J^r ----- -----------JLC -U
(S
' ft, <*_ywt'LS ' (Form Filed By:)
Return filled out form (original) after completion of the job to: M. A. Patel- - Bldg. 701/330
UCC 019366
Telephone :
RECEIVED
ASBESTOS INSULATION REMOVAL ANO DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
JUN 1 6 1987
M. A. PATEL
(LOCATION OF JOB:) PLANT . ^ AREA
ZONE:r*<'>" y BLDG:
UNIT:____
JOB SUPERVISOR:
C^y s*.--
DATE JOB PERFORMED:
5?
DESCRIPTION OF JOS: LOCATION ASBESTOS INSOLATION DISPOSED:
S2- S STS ts/^.J' L
ESTIMATED FEET REMOVED:
/<-/)LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): /?, rT /fac/'-p
/</>
SQUARE FEET
C /?, C'//r^ A/** v
T. k fsr a, V*-
Plant 511 Hygienist notified (M. A. Patel - ext.. 3750)
Negative pressure enclosure feasible?
:
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barrica,des'.. down (after clean-i u. p. only):, Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA),
Halfpface W111'saa.R-12"(HlEPA)
Supplied Air-Full Face - Positive Pressure
. M ' . >*
.f.j,
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS_____________ _____________________________________
YES l/
-
_N0 ___
cX
N/A
___ IS
JLS.__
(X ___ (s U-
JS- ----
i/. ----_uc___ Jd. ___
iS ___
\y
S
u (/
___ p/\
, Telephone :
' (Form Filed By:) Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019367
RECEIVED
JUN 121987
M. A. PATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANT .?) / AREA:_________ ZONE: Z,
BLDG: ) /f UNIT:
JOB SUPERVISOR:/? 7/
DATE JOB PERFORMED: U -/rt -- ^ 7
DESCRIPTION OF JOB:
f/$DVrf\ 4" L i'/1/e
b
LOCATION ASBESTOS INSULATION DISPOSED:
djnd.
ESTIMATED FEET REMOVED:
ifTlNEAL FEX>
EMPLOYEES INVOLVED IN ACTUAL JOB (S): fff) ^g////es
fla/fTP,'*
SQUARE FEET tA/f ('.k fad. /eH
fa
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES j/. ___
_
NO _ \S
N/A
___
_
]Z --
y
~Z Z
___ y _
jZ _ _ y
(Form Filed/By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019368
Telephone :
7-3^3^
1791P
RECEIVED
K
JUN 121987
f ' M. A. PATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT ------------------------------------
(LOCATION OF JOB:) PLANT\ F) /AREfc:
ZONE: /
BLDG: 4 jL UNIT:
JOB SUPERVISOR: d ', Y1 (DATE JOB PERFORMED: 4-9-17
DESCRIPTION OF JOB: Rfi
TW r* 2" St. /-/wa
LOCATION ASBESTOS INSULATION OISPOSED: SeaTh CTW (csTok) P/arjT D;^PP^\
ESTIMATED FEET REMOVED:
2l2L
<Tneal feej>
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): /pQ, I3vujl e 9
J.f?. dh&bdl ev-
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used ^Protective clothing used - boots, head cover, gloves, coveralls v Outer coverall vacuumed before removing
YES NO z.
~z
X. X.
y. y
Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene
~y y y
1Z y
~y
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
/X /( (^^^^k^^^Telephone : 7V7-3-55<^
(Form Filed Return filled out form (original) after completion /
of the job to: M. A. Patel - Bldg. 701/330
1791P
UCC 019369
received
JUNO 91987
(^ M. A. PAIEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT MjD9
(LOCATION OF JOB:) PLANTJ/Jc AREA /.. _ ZONE:_______ BLOG: /S** UNIT:
JOB SUPERVISOR: if
_________________ DATE JOB PERFORMED: ^ - y _ << 7
DESCRIPTION OF JOB: sTfi'p
Cn.-jp
LOCATION ASBESTOS INSULATION OISPOSED:
/p /}?ls< A & a ^ A'^^.
ESTIMATED FEET REMOVED: LINEAL FEET _____________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): f>. T /)^cJ.r_________
f J'.
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure Installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls ^ . Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
,
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Einployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard In last 12 months
COMMENTS:
YES Js_ ___ _
_
sj
NO N/A
____
y
___
_
_
___ ___
----
___ 1/ ___ (S ___ x/
___ 6/
___ ___
___
(Formr1led By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019370
Telephone :
1791P
received
ASBESTOS INSULATION REMOVAL AND 01SP0SAL
JUN 0 91987 CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
c M. A. PATEL
(LOCATION OF JOB:) PLANTj/2. AREA-,
ZONE:
BLOG:
UNIT:
JOB SUPERVISOR:
_______________________ DATE JOB PERFORMED: tyT/S?
DESCRIPTION OF JOB: S'/P/ jp___ v.Ufn'&'S, &'is 3
/ /is
cft-A-fSp . ? S'
LOCATION ASBESTOS INSULATION DISPOSED:
iW
__________________
ESTIMATED FEET REMOVEO:
/Ji f)LINEAL FEET _______________________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ft ,3T An
'________
C, />_ Z
^Oc/^yQQ- * f________ A ^--------------- ------------------------------------------------
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO N/A ___
___ J/ ___
Z _ _z
jZ -U-
-J/
1/
JZ j/ JZ
-----
____ .
___ ___
___ ___
_
-- ___
-- ___
__
L JD"
(Form Filed By:) Return filled oul form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019371
Telephone
1791P
C'CE/VLD
f"N 091987
ASBESTOS INSULATION REMOVAL ANO DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
( '1. A. PATEL
(LOCATION OF JOB:) PLANT// JOB SUPERVISOR: /j? <f
AREA-/,-
ZONE:________ BLDG: 3?
_* DATE JOB PERFORMED:
UNIT:
DESCRIPTION OF JOB: J-s,'n LOCATION ASBESTOS INSULATION DISPOSED: ESTIMATED FEET REMOVED: Vf)
& ^ /'('"A
__________
/A* ______A* -iW Jry /. A
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): /?. JTAn.* <?A, '
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls . Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Einployee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO jy, ___
N/A
jy ...jy
___
--S-e.
jy y
(y
--------
___
___
i/
7T
(Form Filed By:) Return filled out form (original) after completion of the job to: H. A. Patel - Bldg. 701/330
UCC 019372
Telephone :
1791P
I... CElVECX
.y ta ^907
ASBESTOS INSULATION REMOVAL ANO OISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
M. ft-
,
(LOCATION OF JOB:) PLANT1/ AREA / ..- _ ZONE:_____ BLOG:_____ UNIT:
JOB SUPERVISOR:
___________DATE JOB PERFORMED: (, -
DESCRIPTION OF JOB: <T/xv>
LOCATION ASBESTOS INSULATION OISPOSED:
/?//,, A^^.A /,VZ_______
ESTIMATED FEET REMOVED:
7/)LINEAL FEET __________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
~
fJr S^nn/v^Vr:
C , &.
____________________________ '
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES
___ ___ ___ JZ-
ML
_Ld JZL Lz
LZ
c/ zzL
1^
NO N/A
___ jlX
U
___
-iZ
___
__
____
___
__
___ ___
__ __
___ ___
___ .... ......
__
izl ___
lZ
! (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019373
____ Telephone :
received
JUNO9 1987
ASBESTOS INSULATION REMOVAL AHO DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
I {/[.A. PATEL
.
(LOCATION OF JOB:) PLANT..* / i AREA-/., _ ZONE:________ 8LDG:________ UNIT:
JOB SUPERVISOR: ^ P (^rupc^jDATE JOB PERFORMED:
&y
DESCRIPTION OF JOB: S'/r,/? A^bpo >o'> 7aip
LOCATION ASBESTOS INSULATION DISPOSED:
fry /
i /)/ vSASJer.
^
P.1A______________ "
ESTIMATED FEET REMOVED:
/ VaLINEAL FEET _______________________________
J <?/ ~ _ e. ^EMPLOYEES INVOLVED IN ACTUAL JOB(S):
Aa.n
SQUARE FEET
f? S*o d^s/i-s's
...C^ Jt.
_______________________________
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls ^ . Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Einployee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES NO uf ___
N/A
___ ___ ___ ___
j (Form Filed By: Return filled oui form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019374
Telephone :
1791P
RECt-tVtD
MAY 2 71987
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
A A. PATEL
(LOCATION OF JOB:) PLANT: 57 ^ AREA?_3_____ ZONE:________ BLDG: / 5b UNIT:
JOB SUPERVISOR: (Zpf
-DATE JOB PERFORMED: S/jMY2--
DESCRIPTION OF JOB:
m H"L iA*.
_________________
LOCATION ASBESTOS INSULATION DISPOSED: S^,.,Th
ESTIMATED FEET REMOVED:
LINEAL FEET
PL^
P*aS
X SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): TR d-AdV-ri/(">
S.h\ Ba^W 9 l~
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls r
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
'
YES NO N/A
^ ___ ^_
j/ --
___
____
___ ___
(Ld 0. <*st /,}/,Telephone : 7V 7-355b
(Form Filed 4y:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
1791P
UCC 019375
RECEIVED
JUNO 9 1987
ASBESTOS INSULATION removal and OISPOSAL
........... CONSTRUCTION/SERVICES DEPARTHENT SUPERVISOR'S REPORT M. A. PATEL -------------------- 1------------------------------------------------------------------ -Z-,
,
(LOCATION OF JOB:) PLANT.*/'/ AREA JOB SUPERVISOR: ffifty* '______
DESCRIPTION OF JOB:
ZONE:
BLDG:
UNIT:
DATE JOB PERFORMED: S-/& - S'7 3 /V
O'l'________&eA/n ^ > A'
LOCATION ASBESTOS INSULATION DISPOSEO:
ESTIMATED FEET REMOVED:
7d
2-L.dUL___ Sl.-'A-.___ AA^ryL A.
LINEAL FEET
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
CA^^yA.
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure Installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) fiarricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES 1/1
___ L/
-j2.
NO N/A
_ ____
___ ___ i ___
___ ____
___ . ___
iy
(Form Filed By:) Return filled ou^ form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019376
Telephone
1791P
Kfc.c;tilVfc.D
MAY 2 71987
..............
M A. PATEL
'
ASBESTOS INSULATION REMOVAL AND DISPOSAL
----------------------- ----------- ---------------------
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
(LOCATION OF JOB:) PLANTAREA:_3_____ ZONE:________ BLDG: 15 (c UNIT:
F,.si
JOB SUPERVISOR: J/ m u, n
__________ DATE JOB PERFORMED: S -/<? - Sr)
.
DESCRIPTION OF JOB: ^in* l\p l^cAJ-
ftj, d___________.
LOCATION ASBESTOS INSULATION OISPOSED:
'~T)iS' '
ESTIMATED FEET REMOVED:
p^AINEAL FEET (j-n AHatpin SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): rf'fP Cba
&______
sr/i &
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: /. / ./ I'/ fA.t?
' , Y d ^
YES j/
NO ___
N/A
_ j/
_i/ _ ___ ___
^
___
_
t/ ^
___
_
-- ___
_ _
y
y
(Form Filed B Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019377
Telephone :
1791P
UCC 019378
Ri--C~iVED.
JuN o 9
ASBESTOS INSULATION REMOVAL AHD DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISORS REPORT
M. A- ?ATEL (LOCATION OF JOB:)
PLANT/*?/
AREA /\
ZONE:
BLOG:
UNIT:
JOB SUPERVISOR:
DATE JOB PERFORMED: ^-/LT-iT?
DESCRIPTION OF JOB:
/f C i; *>/> r *Jr
LOCATION ASBESTOS INSULATION DISPOSED: ^,,/// ZVyVv ,,
ESTIMATED FEET REMOVEO:
" LINEAL FEET
<*&... F/JL SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL J0B(S):/?T
w'
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YB NO N/A L/ ___ 1/ ___ ___
_Z,, ___ ' ___ ___ ____
u
____ ____
Jdl ___ ___ --4^ --
U ___ ___ -JZ ___ ___ ___ zl ___
c
(
j (Form Filed By:)
Return filled ouf form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019379
Telephone :
1791P
RECEIVED JUNO 91987
M. A. PATEL
ASBESTOS INSULATION REMOVAL AND DISPOSAL CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
(LOCATION OF JOB:) PLANLX-V AREA-/,, _ ZONE:________ BLDG:________ UNIT:
JOB SUPERVISOR: '-Tf, C
______________ DATE J08 PERFORMED:
DESCRIPTION OF JOB: 5A^J> g oJcs
^ )e> r..\
LOCATION ASBESTOS INSULATION DISPOSEO:
Go/A
Astsp As' J- A~
ESTIMATED FEET REMOVED:
____________ LINEAL FEET__________________
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ' $,7T AaeSp
PA
SQUARE FEET /- 4JpJ
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:__(____________________________ __________________________ _____
YES NO N/A S? ___
----- -U _i_ zL.
y
ip
-LZ ___
.... ____ jy ___ jy_ ___ y ___ y ___
y
LL
(Form Filed By: Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019380
Telephone :
1791P
RECEIVED
MAY 1 51987
M. A. PATEL
ASBESTOS INSULATION REMOVAL ANO OISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT ' X'f- . \
(LOCATION OF JOB:) PLANT3?/ AREA/'.. ' ZONE:
BLDG:
JOB SUPERVISOR:
XL.
DESCRIPTION OF JOB:
C /PAr*.____C >:?
LOCATION ASBESTOS INSULATION OISPOSED:
DATE JOB PERFORMED:
JL n / lC
ESTIMATED FEET REMOVED:
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): G.-7 A r.
r MiX.
3
UNIT: SQUARE FEET
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls ( Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
x
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Einployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
YES
-.U. ___
O'
-JS Mx -U
L/
-U
NO N/A ___ ___ ____
____
O'
____
------
____
___
____
------
___ ___ ___ ___ ___
--
___ ____
--
Jx. C/
| (Form Filed By:) Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019381
Telephone :
received.
7 ASBESTOS INSULATION REMOVAL AND DISPOSAL MM 1 9 W CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
Nl. A. PME
/ '^
(LOCATION OF JOB:) PLANT J^/l_
m ZONE:_______ BLOG:_______ UNIT:
JOB SUPERV1SOR: 3-/b ^Ah/SO*^__________DATE JOB PERFORMED: S^/y - YJT~
DESCRIPTION OF JOB: Spy//>
_____________________________
LOCATION ASBESTOS INSULATION DISPOSED:
ft#* *V?/ /7Jl 4 3o&
ESTIMATED FEET REMOVED:
^S_________ LINEAL FEET __________________ SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
___________________ _
Sa/rtf roaS 323 /A,/*f'S________2^?-?
NO N/A
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
r Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
Return filled out form (original) after completion of the job to: M. A. Patel - Bldg. 701/330
UCC 019382
1791P
RECEIVED
MAY 1 9 1987
ASBESTOS INSULATION REMOVAL AWO DISPOSAL
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT M. A. PATa
(LOCATION OF JOB:) PLANT^/ AREA /,. _ ZONE:_______ BLOG:_______ UNIT:
JOB SUPERVISOR: -^6
__________________DATE JOB PERFORMEO: V- In - g ?
DESCRIPTION OF JOB:
Jj ;,,e
____ g*-
LOCATION ASBESTOS INSULATION OISPOSEO:
ESTIMATED FEET REMOVEO:
/onLINEAL FEET ____________________________
EMPLOYEES INVOLVED IN ACTUAL JOB(S): /?. J A
A/
8
SQUARE FEET ^
^k. Ta-rxs____
Fr'i.K'W*-________
YES
Plant 5)1 Hygienist notified (M. A. Patel - ext. 3750)
^
Negative pressure enclosure feasible?
___
Negative pressure enclosure Installed?
___
Use of Glove Bag feasible?
___
Barrier tape used Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
^L. ,y ty i/
Outer coverall removed before leaving barricaded area
,/
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
//
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
{y
Type of respirator used: Half-face AO R57-A (HEPA)
_j/
Half-face Willson R-12 (HEPA)
___
Supplied Air-Full Face - Positive Pressure Employee trained for respirator In last 6 months
___ ^
(If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard In last 12 months
COMMENTS: *,/, ; ^, / 6A/ C //<CL(r f
/o USE
A. /. zC. Telephone
(Form Filed By:) Return filled oui form (original) after completion
of the job to: ^ A. Patel - Bldg. 701/330
UCC 019383
NO N/A
_
1791P
RECEIVED
MAY 1 9 1987
ASBESTOS INSULATION REMOVAL AND OISPOSAL
M. A. PATEL COWSTRUCT ION/SERV ICES DEPARTMENT SUPERVISORS REPORT
(LOCATION OF JOB:) PLANT.S/4 AREA-,\.
ZONE:
BLOG:
UNIT:
JOB SUPERVISOR: DESCRIPTION OF JOB: S4rJp
______________ DATE JOB PERFORHEO: .irZ:.jL2..
J2e&. A
LOCATION ASBESTOS INSULATION OISPOSEO:
^
A
ESTIMATED FEET REMOVED:
c/&
LINE/VL FEET
SQUARE FEET
EMPLOYEES 1NYOLYEO IN ACTUAL JOB(S): C,
*Jc. Sai-O dy
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure Installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
( Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Einployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: ^A J r f
/J> J
YES NO N/A .jZ
u ___ ___ C' M-
U:.
u
-LdL.
& ^ y z_
5^ I (Form Filed By:) Return filled out form (original) after completion
of the job to: rt, A. Patel - Bldg. 701/330
UCC 019384
Telephone
179IP
RECEIVED
ASBESTOS INSULATION REMOVAL ANO OISPOSAL
MAY 1 5 1987 CONSTRUCTION/SSRVICES DEPARTMENT SUPERVISOR'S report
M. A. PATEL
(LOCATION OF JOB:) PLANT oT7
AREA/,, _ ZONE:________ BLOG: (/X ) UNIT:
JOB SUPERVISOR: T,Z
_____________________ DATE JOB PERFORMED: 5 ~S~Z?_______
DESCRIPTION OF JOB: cVr,> ZflxoJaS
>/
Qj- )
LOCATION ASBESTOS INSULATION DISPOSED:
SvJ..
Z, '1 /
ESTIMATED FEET REMOVED:
3 ZLINEAL FEET _________________________________
SQUARE FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S):
r
CJ3. C/y^d A?*. , Z
/. S', f, ,ZZsZ > ^e-______ !
Plant 511 Hygienist notified (M. A. Patel - ext. 3750)
Negative pressure enclosure feasible?
Negative pressure enclosure Installed?
Use of Glove Bag feasible?
Barrier tape used
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes
Proper clean-up (area housekeeping)
Barricades down (after clean-up only)
Einployee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS:
S/s*#
L
YES NO N^A
jZ
-JZ 1/
ML
-IZ-
ML
MM
JL (/
(M
ZZCpr?'':fits
(Form Filed By:) Return filled oui form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330 UCC 019385
Telephone
1791P
RECEIVED
ASBESTOS INSULATION REMOVAL AND DISPOSAL
MAY 1 5 1987
CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
PATEL (LOCATION OF JOB:)
PLANT f/JL AREA
ZONE:
/-V x . , flz /ni?
____ BLDG: /*fefis?UNIT:
JOB SUPERVISOR:
___ OATE JOB PERFORMED: 'T-
DESCRIPTION OF JOB:
LOCATION ASBESTOS INSULATION OISPOSEO:
ESTIMATED FEET REMOVED: / 3 /?LINEAL FEET
/si^S c/SsO.**, a
ds*'
s3>S~. ImsxJ J~.'S2
J./v'e's
Hj fnp o>j C/jrj' SQUARE FEEJ
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ^JT A
'
..Stead/#/ZtfM.__________ -At /f'i- firs./h/vt_________
YES NO
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible?
lAA US
Negative pressure enclosure installed? Use of Glove Bag feasible? Barrier tape used
jL i_
Warning signs used
Protective clothing used - boots, head cover, gloves, coveralls
Outer coverall vacuumed before removing
Outer coverall removed before leaving barricaded area
Plastic used on floor and over equipment
Area vacuumed
Employee showered before reapplying street clothes Proper clean-up (area housekeeping)
,Lz ly
Barricades down (after clean-up only)
Employee(s) monitored by Industrial Hygiene
Type of respirator used:
Half-face AO R57-A (HEPA)
Half-face Willson R-12 (HEPA)
Supplied Air-Full Face - Positive Pressure
Employee trained for respirator in last 6 months
(If not using Supplied Air - Positive Pressure)
Employee trained for OSHA Asbestos Standard in last 12 months
COMMENTS: Mr. > /Jfjxft/oz
/PaaJ
1/ .jfu*
( ~ _____
ASoo V A-
j (Form Filed By:)
Return filled out form (original) after completion
Telephone
of the job to: M. A. Patel - Bldg. 701/330
N/A
/
1791P
UCC 019386
received
MAY 1 5 1987
ASBESTOS INSULATION REMOVAL AND DISPOSAL
M. A. PATEL '
.CONSTRUCTION/SERVICES DEPARTMENT SUPERVISOR'S REPORT
.
tylTV ***
(LOCATION OF JOB:) PLANTJ&A AREA-/,. . ZONE:________ BLDG:________
JOB SUPERVISOR: ^ DESCRIPTION OF JOB:
fieu/
OATE JOB PERFORMEO:
* Ar
LOCATION ASBESTOS INSULATION OISPOSED: (3-cjJJ-
ESTIMATED FEET REMOVED: / AP
LINEAL FEET
EMPLOYEES INVOLVED IN ACTUAL JOB(S): ,. J.
-/t- ?/ff
S A,
UNIT: y
SQUARE FEET
Plant 511 Hygienist notified (M. A. Patel - ext. 3750) Negative pressure enclosure feasible? Negative pressure enclosure Installed? Use of Glove Bag feasible? Barrier tape used Warning signs used Protective clothing used - boots, head cover, gloves, coveralls Outer coverall vacuumed before removing Outer coverall removed before leaving barricaded area Plastic used on floor and over equipment Area vacuumed Employee showered before reapplying street clothes Proper clean-up (area housekeeping) Barricades down (after clean-up only) Employee(s) monitored by Industrial Hygiene Type of respirator used:
Half-face AO R57-A (HEPA) Half-face Willson R-12 (HEPA) Supplied Air-Full Face - Positive Pressure Employee trained for respirator in last 6 months (If not using Supplied Air - Positive Pressure) Employee trained for OSHA Asbestos Standard in last 12 months COMMENTS:
YES -4-*r -L -Ll ___
1/ L/ U
(/
j/
aX
Cs
~
NO -- ___ ___
___ -----
___ ___ ___ ___
_____
JS _
N/A
-___ ___ ___ ___ ------
____ ___
___
/j
j (Form Filed By: Return filled out form (original) after completion
of the job to: M. A. Patel - Bldg. 701/330
UCC 019387
Telephone :
1791P