Document V341yrDxBEVnrnJqQRJxowKQZ

4 I * `..-C';/ / C. ` * % .. . j / / y /f ""ii-u u Employers Insurance of V/cusau Environmental Health Laboratory 2000 Westwood Drive VVousgu, Wise. 54401 Phone (715) 842-6109 SURVEY NUMBER (CO. U$C ONLY) AMPLING DATA NAME OF COMPANY . GARLOCK INC. AILING -CCRlCSi AND PHONE NO. Division Street, Palmyra, New York 14522 ATTN; Mr. Lloyd A. Green (315) 597-4811 ' SAMPLE ' M3ER DATE COLLECTEO SAMPLE LOCATION OR DESCRIPTION sampling RATE, AIR FLOW SAMPLE COLLECTED BY CARLOCK INC. sampling oevice * NSA Portable Pump 456058 COLL6CTING MEDIUM Hi Hi pore Filter Cat -?HAW037A0 SAMPLING TIME START FINISH* ANALTZE FOR (GIVE SPECIFIC SUBSTANCES) P721BC 5/14/75 Spinning Frames 2 Liters Per MW 9:54 10:24 Asbestos Dust P725L 5/14/75 Twisters * 11 9:20 9:50 If It P722L 5/14/75 Looms If 8:09 8:39 If II r713L 5/14/75 Cards If 7;05 7:35 If If . 7134L 5/14/75 :ut is Ice t 5/14/75 1 Blending Line Fly Cutter II 7:37 8:07 II 10:53 11: 23 1. II If II II '