Document VJL809DO4qENRZX13xMwLwN1o
DOW CHEMICAL U.S.A.
April 21, 1987
loui9.anadms.on
P. O. BOX 160 PLAOUEMINE, LOUISIANA 707B6-01B0
604 389*8000
Carey Brannan Ray Gaska L. G. Hoffman Doug Meyer
cc: Bill Ledford Mike Nevill
ASBESTOS SURVEY - BLOCK 26, CHLORINE PLANT
An asbestos identification survey was performed on April 13, 1987 for the permanent buildings located in Block 26, Chlorine Plant. Summary of asbestos found:
Building
Item
Comments
2601, Main Office
Hot water heater insulation
Steam lines feeding men's locker room
Excellent condition recently encapsulated
Encapsulate exposed ends
Brine Treating Shack
Steam lines
Control Room
Transite behind control board
Pipefitter Shop
Steam lines
Excellent - lines are labelled
Motor Control Centers
Electrician Shop
West of S-1
Transite behind electrical panels
Steam lines
Transite
Encapsulate exposed ends
Remove piled asbestos below transits
Encapsulate frayed edges
AN OPERATING UNIT OF THE DOW CHEMICAL COMPANY
00 091522 CONFrOENTIAl
2- -
Building Warehouse
Item
Comments
Building covering transite
Remove piled asbestos below transite
Encapsulate frayed edges
Steam line insulation
Gaskets
Continue to keep area clean
Seven samples were taken to identify the presence of asbestos. The results are as follows;
Building
Location
Results
B-2601
Men's locker room paper on water line
No asbestos
B-2601
Morter mix above drop ceiling in men's locker room, bathroom
No asbestos
B-2601
Men's locker room steam line
Asbestos
B-2601
Covering outside return air duct
Asbestos
B-2601
Roofing - Tacked tar paper
No Asbestos
B-2601
Roofing - Tar paper
No Asbestos
B-2601
Rolled tar paper - cell area
No Asbestos
Our recommendations are as follows:
1. The results of this survey identify the type and location of asbestos-containing materials in the Chlorine Plant's permanent buildings; however, caution is advised during the demolition of any building materials (i.e. ceiling/floor tiles, insulation).
DO 091 CONF
-3-
2. L. G. Hoffman has conducted a walk-through survey of asbestoscontaining insulation in the process areas. Currently, the iden tified lines are being labelled as asbestos and damaged spots have been enclosed or encapsulated. This work is consistent with the required labelling and maintenance requirements.
3. In addition, our recommendation is to place a sign at Chlorine's block entrance identifying the presence of asbestos in the block. Industrial Hygiene will order and distribute signs when our division-wide survey is complete.
4. A permanent file should be maintained identifying asbestos loca tion, maintenance, and training records.
5. All asbestos-containing materials must be handled properly according to the Louisiana Division Asbestos Guidelines.
6. If further information, sampling, or material identification are required, please contact Industrial Hygiene (Ext. 6163) or Maintenance (Ext. 6443, radio 640).
Leslie Hollis Industrial Hygiene
DO 091524 CONFIDF.NTTAI
'
DATE oib/n
'
ASBESTOS ANALYSIS
PojJL l oj &
ANALYTICAL METHOD: NIOSH 7H00A
SAMPLE # 01S3!
SAMPLE DESCRIPTION
DURATION (MIN.)
*'Pijul*J-'/53-33-US3 MO
JLJh(Lchtdjx
M*k% .
voluc; (L)
nno.m
FIEERS/OC >5 MICRONS IN LEN5TH
O-OiS'
8-ffi TWA FlffiRS/OC
<9,0/2-
olllQln_____ dm_____ ^.L^J V35-J3-^S3 WO fy'i.O
O-OHO
0.0*/
/JMafAjJtdi}pj QuoitjAm______________________________________________________________
------------------------------------------------------------/ftw-dfilfllifa Li
oz/tel7 ^7557 *V33-33-3fag
J/aC^AuSjA^ (LtdxAj* JAU PA Qbam. }>lf*L
4%0
QHo
obtain o755?
* iwJ - y33-J3~-<3653
Prj+jsKj {uJjtzUa 1^0 PAJjyiLmpj MrtJ.
^P/?
rt.aa.
j2^2L
O'pa
j2-^Z
)alol/t7 mSSi ^Aa/wnJ */33'6L$-lUtt
JML_____ l7i.o
<o,o/
<q.o/
Jyyu PAftojjni. JdjtoA .
c&bsfcn Pish +it AmwuP -ito-ii-MS
LMCCLfUuAct^ aAjtSfjMi '4AU CP&QU*A i)(jxJcj. WLTAAlWy QdxJbo fyffrr* t"Ani^ Of# <?0
m*o
JP:ab 2/87
^zo.o
o.ot
^o.ot
Oo ntTai
t>
ASBESTOS ANALYSIS
'PcujJL 3L
3L,
ANALYTICAL METHOD: NTOSH 7^00A
DATE
&J(ak7.
SAMPLE
SAMPLE EESCRIPTIGN
yOJRATION / (MIN.)
016>5~9 ^$S/UAn*tl' 4*>$-l3`3l5 / 9o
doom: CL)
/9F.0
FIBERS/CC >5 MICRONS IN LEN3TH
&-HR TWA FIEERS/CC
6- OF ......0-03
____ __________________ T^tloJ jUxyisyv 4/eM -^rdtfrLA)
~$aJ^-^a<jLr S>n
*JL-Jtt)'^pu
pMh&Mi
IaWMs. <Z&rH^n IT^acz,
/yncuJL jjjt'M. CUsfifi-
Z4)O0 7jjriksv rhvu^y
___^ffAiJl jmaj___ ts&ju_____________ doAt^g a^UxSfjzD A&m#m^p/s.
CLfcAft
Kdid.
d~3SD9M
@d*cdjsQ
DO 091526 CONFTDFNTT AL
* (**}//(*i~~i ** 'd.fj/ad
Block. <(j>Ol Monitoring for. QixJrc
Other Chemicals Present:
3-5=fcPerson or Area Monitored?
Typo Sample: Q/Penonnel Q Area
Q Excursion Q Other-
Job Classification
jjskfev
Including any unusual activities.
Sample flO Q7531
/Wr2> Datfe=s= description ef tasfc performed,, during monitoring period
-^Sw/ *
DO 0 9 1 5 2 7 CO NFIDENT!
Tim Stai i i _ ^ i.^ Time **pp/jftf . _
Beginning Flow
-><=>
Ending Flow Rote C - ^ ^>>**^
used p^Yes No
Calibration Check Prior to Monitoring? Pf Yes [] No
Calibration: Q Bubblemeter
fp/Ratometer
Other
NOTE: Job description must be concise and complete.
LOUISIANA DIVISION INDUSTS1AL HYGIBrt
>
Typ.7 /hnf<2 7Pj/iTt, Wind, Temp, and Humidity
Form filled in hy
/^fV o4
*2Co/ Bloflf Monitoring for.
Other Chemicals Present;
1/33 ' J3 - 2-(*S~3
Person or Area Monitored C/OATaJt?t^A ^ -05 / Type Sample: {^''Personnel Area
Sam^ple MnO HU 7f CJCJUC
Q Excursion Q Other
Dote
_____
Job Classification ^/SS'CtC
3mDescription of task performed during monitoring period
including any unusual acHvtties /3AJC fa/*fU
S' 7*iS S4/T**rt-T~'QA/
Time Started Time Stepped
QO P/f'L
Beginning How lah._% >3
Respirator used
/RrEnding How RateB^Ym" Calibration Check Prior to Monitoring? B^Yes No
Calibration: Q Bubblemeter
QS^otometer
Other
o NOTE: Job description must be concise and complete.
LOUISIANA DIVISION MDUSIHAL HYGIENE
Q No
Type? ^*5Vt/ZQ - TuAftf C/?4(?r. Wind, Temp, and Humidity
in byz: Form tilled
DO 0 9 1 5 2 8
n>
Block- Mi! - Cftr Monitoring far A5??T~77l A
Other Chemicals Present:
JS* V33 -2J-
Person or Area Mnniianwl
A<'0S7T(f Sample ^0
07557
Type Sample: S-'Personnel Q Area
Excursion Other---------------------------------------
Date at
___________
Job Classification
X .4:7?! ________ Description of task performed during monitoring period
including any unusual activities___^
JsVS'tSt-
Time Started_-
^Mt.
rime Stopped 3 P/*}
__________________________
Beginning Row Bale
__ Respirator used 0^Yes No
Ending Row Rate- -Alf.
Calibration Check Prior to Monitoring? jPf^Yes [] No
Calibration: [] Bubblemeter
Q}"Rotometer
Other
NOTE: Job description must be concise and complete.
LOUISIANA DIVISION INDUSTRIAL HYGIENE
Type?.-4 ^ &>___- 72^'^ c^sen. Wind, Temp, and Humidity
Form filled in by.
Block. J&C.0/--~ C/2-r_________ Person or Area Monitored._________
Monitoring for.Js2L?tt>
Type Sample: [|j^$onnel Q Area
Sample
^JO
07553
----------------------------------------------
Excursion Q Other
Date ^ -fr-i?-----------------
Other Chemicals Present:
Job ClaMifimHan jT/tifctj/-$Description of task performed during monitoring peri d
---------------------------------------------- including any unusual activities____ _________________________ ^f4~S~yti5
dA/------
Time Started Tim Stopped
'0?ioz> A*\ ^f
Beginning Flow Rate__ Ending Flow Rate_
1
$? S~
-y 7o.o (W Respirator used
No
Calibration Check Prior to Monitoring? S^'Ves Q No
Calibration: Q Bubbtemeter
jJJ'Hotometer
Other
NOTE: Job description must be concise and complete.
LOUISIANA DIVISION INDUSTRIAL HYGIENE
D OO
Type?....O.QwfQ___- TW/jJ Cj4^T* Wind, Temp, and Humidity
Form filled In by^^Zk*^**
r
oesiso
Block. Monitoring for. /fc-Ffrrvs
Other Chemicals Present:
SSitt- L/J3- -2iSZ?
Person or Area Monitored l/iifJOYji'/
Sample
^|2
07558
Type Sample: Q^ersonnel Area Excursion O Other.
Date. A -Ss_tP .
Job Gassification__ /C1 including any unusual activities.
____ Description of task performed during monitoring peri d
^ V /ry ^ V<r- sfyjScyrus /yQS'c/^.
Time Started &
4M>-
Time Stopped
S* P
Beginning Flow Rate___/&&
Respirator used 0^Yes Q No
Ending Flow Rate_____ /> ?__ *
Calibration Check Prior to Monitoring? 0*Ym Q No
Calibration: [] Bubblemeter
Q^Rotometer
Other
NOTE: Job description must be concise and complete.
LOUISIANA DIVISION INDUSTRIAL HYGIENE
Type?
d* * Fn
Wind, Temp, and Humidity
Form filled in hy
^
>
3&Q' -- -/z.
Block. Monitoring for. /ISBK.7PS-.
Other Chemicals Present: ________________
SS ^ yC/J* 'Z-l
Person or Areo Monitored
Sample ^0 07560
Type Sample: O^ersonnel Q Area Excursion 0 Other--
.... vr'-'p?____
Job Classification
__Description of task performed during monitoring period
Including any unusual activities:1^-^**0T J--/ASc/J-
*L" /<&& (afMo*. Zosr.)
Time StartecL ?:^o
Time Stopped__
Beginning Flow Rate. Ending Flow Rate____ /'^__
^ r) -^a/s *u.4ST'f*
smirn*' Jse.o- 0-0/
Respirator used ^ Y 0 No
Type?-
xs(sj-j4t,o /*/
J-g/C*E/8T-A)fit------------------Gt*(fe> -no/Kf e4/ir~
Wind, Temp, and Humidity
Calibration Check Prior to Monitoring? B^fes 0 No
Calibration: 0 Bubbfemeter
@"Rotometer
0 Other
NOTE: Job description must be concise and complete.
Form filled in by.
LOUISIANA DIVISION INDUSTtlAl HYGIENE
DO 0 9 1 5 3 ? CO NFIDENT!
1>
CHLORINE PLANT ASBESTOS SAflPLE RESULTS
DATE SAMPLE* PERSONNEL 12/15/07 7513 12/16/B7 7516 12/14/07 7511 12/15/07 7530
DESCRIPTION SDT-FULPED CELLS:ENTERED INSIDE OF ASS. NHSE SOT-TREATING CELLS AMI CATCHING PTS SOT-PULPED CELLS SOT-PULPED CELLS
DURIHIN) VDLIME4L1 FID/COSHICRDN
415 963.525
0.002
405 620.125
0.019
4D0 1032.000
0.004
420 955.500
0.006
G-HR TNA FID/CC PLANT "5 of 0.002 CHLORINE
0.016 CHLORINE to} 0.004 CHLORINE -0f 0.005 CHLORINE
Block- 2^0
dshe*) kyb M nitoring for.
Ovitnheerr Cwhieemmicals Present*
t
Person or Area Monitored. Type Sample: H^Personnel Q Area
/'-SoL^ ^-"Sample N2 07513
O Excursion Other.
Date. rtf'sIn
Job Classification- SoX
.Description of task performed during monitoring period
ities jfitA.-: Jj .. -A C*/. Li v f-`` , ~ / /'. 0 < including any unusual activities
1 ' iJ
m !!
r c' i i
Time Started.
Time Stopped
JL5LBeginning Row Rate.
Ending Row Rote /93
Respirator used fffves No
Calibration Check Prior to Monitoring? 0 Yes 0 No
Caiibrati n: 0 Bubblemeter
0 Rotometer
Other___
NOTE: J b description must be concise and complete.
Type?Wind, Temp, and Humidity
In hy l/JilLd j/jjjlWVl Form filled
LOUISIANA DIVISION INDUSTRIAL HYGIENE
CONFTDENTT
o o o vO ai w
Biock. 2C^o
Person or Area Monitored.
c ELL
iRA
Sample tyO 07516
Monitoring for. A-s&^tos.
Other Chemicals Present: I _g-______________
Type Sample: Q Personnel [] Area
Q Excursion Other.
nnt l -Ut>- B>~7
Job Classification.
Sot ____________Description of task performed during monitoring period
including any unusual activities. Treating Cells Akp Catch in 6 PH'S_______
-JL
Time Started. 0746
Time Stopped. (5oo
Beginning Flow Bate ^ QS
Respirator used Yes Ej3"fS
Type?.
Ending Flow Rata 2. QO
Wind, Temp, and Humidity
Calibrate n Check Prior to Monitoring? Q Yes [] No
Calibration: Bubblemefer
Rotometer
Q Other
NOTE: Job description must be concise and complete.
'Do MAtO Co
Form filled in by.
H.IAAI S
LOUISIANA DIVISION INDUSTRIAL HYGIENE
DO 0 9 1 5 3 5 CO NFIDENT!,
j>
BlockJik>. --__________ _ Monitoring 'for
Other Chemicals Present:
. ^SUjLrv Person or Area Monitored
ype Sample: [jQ^Personnel [] Area
Excursion Other.
so-rJob Classification.
including any unusual activities.
7
Sample N2 075ll:
Pol. 12-M--87 Description pi task performed during monitoring period
___ ________________________________
Urn Started. 07
Time Stopped 1*5 2-0 O'},
Beginning Flow >* *****
2A.Ending Flow Rate.
Respirator used Yes \&f No
Calibration Check Prior to Monitoring? Q Yes [] No
Calibration: 0 Bubblemeter
[] Rolometer
Other______________
NOTE: Job description must be concise and complete.
LOUISIANA DIVISION INDUSTRIAL HYGIB4E
Type?-------------------------------Wind, Temp, and Humidity
Pmu
Form filled In by.
'ikuc.
f4>3<
r> oo 2~n O oo ^7 ^ 2 in --~ii (wj\ a>
Block. M nit ring for /fs
Person or Area Monitored- ^l)cM4IrQ---- ----------------------------------------- Sample Type Sample: 0 Personnel 0 Area
07530
______________________
0 Excursion 0 Other. Job Classification___ S ._L-------------including any unusual activities-
_____________________
Data
^ ^__________
Description of (asli performed dyeing monitoring period
U y.'J/
r oA.<^_______________
<y
Time Stopped.
Beginning FI w Rate.
Ending Flow Rate
4^51
Respirator used 0 Yes O No
Calibration Check Prior to Monitoring? 0 Yes 0 No
Calibrati n: 0 Bubblemefor
0 Rotometer
0 Other
NOTE: Job description must be concise and complete.
LOUISIANA DIVISION INMISttUAL HYGIENE
Type?-------------------------------Wind, Temp, and Humidity
Form filled in by-
-fcr
2 ry<>
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:__ /bt*.3L*.^LlJU!c!ll-__
CHEMICAL NAME_____ ______________________________ DRit____
PLANT ___________________________
PLANT NO.
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE CA,S OR P)
A=AREA S-SHORT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6):*: 8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
_____ _______________________ ________ ____________________ ___________ gjCi>
%UQ*L
______ AL
___________ .
:::::z322s:::"
JL
SAMPLE CONCENTRATION RESULT ___________
COMMENTS!
^RESPIRATOR TYPE: 1 = NOT USED
2 = MOUTH-BIT 3 = HALF FACE
4 = FULL FACE
5 AIR SUPPLY
6 DUST MASK
RAW DATA:
START TIME: &???> STOP TIME: /4'flrV
BEGINNING FLOW RATE:
ENDING FLOW RATE:
2..^./''"
/.
DO 091538 CONFIDENTIAL
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR; CHEMICAL NAME
Af. X T7>
____
_<.__________________ DRtt,,^A2ij&3^-
PLANTC_4vsCPLANT NO.
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE CA,S OR P)
A=AREA S-SHORT TERM P-PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6)*
8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3
EMPLOYEE I.D. NO. IH JOB ASSIGNMENT # J:
_____ _______________________ V-UU3:1
z r -ZZl______
SAMPLE CONCENTRATION RESULT
O
COMMENTS!
*:RESPIRATOR TYPE! 1 " NOT USED
2 MOUTH-BIT 3 = HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
6 DUST MASK
RAW DATA:
START TIME: ,o!r?tn) STOP TIME: /jSr.ZD
BEGINNING FLOW RATE: ENDING FLOW RATE:
Z-
^
DO 091539 CONFI DENT I Al.
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR: ____ CHEMICAL NAME____________________________________ PLANTrA*r_PLANT NO. _t>_2jL~L--
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE CA,S OR P)
A=AREA S-SHORT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6># 8 UR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH -JOB ASSIGNMENT # -
SAMPLE CONCENTRATION RESULT
________A^ --V -^3
COMMENTS!
\
>
^RESPIRATOR TYPE I 1 * NOT USED
2 - MOUTH-BIT 3 =* HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
6 DUST MASK
RAW DATA:
START TIME: t?7Tjju
STOP TIME:
i~V
BEGINNING FLOW RATE:
ENDING FLOW RATE:
2/
DO 091540 CONFIDENTIAL
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR: _
____
CHEMICAL NAME____A*DRlt^i*
PLANT________ _____________________________ PLANT NO.
____ __
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA S-SHORT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6)* B OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
------------------ -------------------------
::::::2a?aic::=:
_____________ A3L
SAMPLE CONCENTRATION RESULT
MA.
.D OS
COMMENTS!
^RESPIRATOR TYPE: 1 = NOT USED
2 = MOUTH-BIT 3 - HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME:_ ?p;
STOP TIME:
fJL>
BEGINNING FLOW RATE:
ENDING FLOW RATE:
?. /
1./
DO 091541 CONFTOFNTTAl
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:
CHEMICAL NAME____ JlZTiL-*_____________________ DR1__ L-J&2X.2______________
PLANT
PLANT NO. -&MJ--
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE (A,S OR P)
AAREA S*SHORT TERM P-PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6)* 8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.0. NO. IH JOB ASSIGNMENT #
AMPLE CONCENTRATION RESULT
n. >/
COMMENT
^RESPIRATOR TYPE: 1 * NOT USED
2 MOUTH-BIT 3 = HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
S = DUST MASK
RAW DATA:
START TIME: oZ'.Zx
STOP TIME: BEGINNING FLOW RATE: ENDING FLOW RATE:
Z ./
Af
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:__ J______________
CHEMICAL NAME
_____________DR_______
PLANT_____________CL4xc.________________ PLANT NO. J&.2A.I_____
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE CA,S OR P)
A=AREA S=SHORT TERM
P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6):*: 8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
__j2JLi^r__________
_____ PJLSfX.
i<J.2 ____________ ________________
__________ ___________________
ZZYJ^fXTYLlYLill
LS
SAMPLE CONCENTRATION RESULT___________ ALi-lA
COMMENTS!
^RESPIRATOR TYPE: 1 = NOT USED
2 = MOUTH-BIT 3 HALF FACE
4 = FULL FACE
5 * AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME: . C>7 * oV
STOP TIME:
BEGINNING FLOW RATE:
f
ENDING FLOW RATE:
~?
DO 091543 CONFIDFNTTA!
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR! /W-TT 7/?
CHEMICAL NAME
____________ ORIt_______
PLANT ______ ____________________
PLANT NO. OJ^UJL____
SAMPLE DATE t; MMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA
S-SHQRT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO e>* 8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3
EMPLOYEE I.D. NO. IH JOB ASSIGNMENT #
P*r2b 1-- __________P-U/J: _____________________________ _____________ SfciL______
_______ JL________
____________ /l.
SAMPLE CONCENTRATION RESULT
< * Of
COMMENTS!
^RESPIRATOR TYPE I 1 = NOT USED
2 MOUTH-BIT 3 - HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME: Q?'o t> STOP TIME: BEGINNING FLOW RATE:
ENDING FLOW RATE:
2-. Pjf*
/. 9
coFT0O9 <\ T5ANA-n'
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:
____
CHEMICAL NAME -j&JL&SiLTJLs._____________DRit^2fiX2r_?J2riI________
PLANT__________ ^Sia-5.___________________PLANT NO. __?/____
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P>
A=AREA S=SHQRT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE : 1 TO 6):*: S OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT # J'
_________ QtpL__
___________ _________________ ___________ ^
SAMPLE CONCENTRATION RESULT____________ rJ?Z._
COMMENTS I
^RESPIRATOR TYPE: 1 = NOT USED
2 MOUTH-BIT 3 = HALF FACE
4 = FULL FACE
5 AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME: D7l*rO STOP TIME: /J'ltrit
BEGINNING FLOW RATE: ENDING FLOW RATE:
2-2.T /,
00 091 54F cONFTOFNTrAL
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR: jMu7L-X*JrAJzlL____
CHEMICAL NAME -j4=JBL6lT.-____ ___ DR#_.J>S>A2--ZA2l_____
PLANT _________CA*.___________
PLANT NO.
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA S-SHQRT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6):*: 8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH .JOB ASSIGNMENT # -*
SAMPLE CONCENTRATION RESULT
COMMENTS I
^RESPIRATOR TYFE: 1 = NOT USED
2 = MOUTH-BIT 3 = HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME: STOP TIME: l\Co BEGINNING FLOW RATE: ENDING FLOW RATE: -
2-. *-$r
DO 091546 CONFIDENTIAL
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:
_____
CHEMICAL NAME J!}rJL&ZeA______________ Dmt_^_t2.-e>2JL3_______
PLANT _______ it-^v______________
PLANT NO.
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA S=SHORT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6)* 8 UR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO.
IH -JOB ASSIGNMENT # *
.e/SLlfiJkl-_______
_______ CJJTJLL_________ _________________________
_______ zzkjLCs?-___
_________ /?.___________
'--ZLluijLZ&L'. --------- y_ji---------
SAMPLE CONCENTRATION RESULT___________ nil
COMMENTS I
^RESPIRATOR TYPE: 1 NOT USED
2 = MOUTH-BIT 3 = HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME:
fl> '
STOP TIME:
&_
BEGINNING FLOW RATE: 2.
ENDING FLOW RATE:
/,
&
- I
00 09l04? T0^nAl
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR: ___
CHEMICAL NAME___________________________________ VW_0JP_ZJ7---&SLl3-____
PLANT ...JZU________________
PLANT NO. L4Z--
SAMPLE DATE CMMDDYY) SAMPLE NUMEER SAMPLING TIME IN MIN.
SAMPLE VOLUME IN LITERS SAMPLE TYPE CA,S OR P)
A=AREA SSHORT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6)* 8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT # J."
P.....
Zf ------------ z/svrrr-- e>3 *
SAMPLE CONCENTRATION RESULT
< .v /
COMMENTS:
\y
^RESPIRATOR TYPE! 1 NOT USED
2 = MOUTH-BIT 3 = HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME: 0 7!Jq
STOP TIME: f
BEGINNING FLOW RATE:
ENDING FLOW RATE: --
JL
DO 091548 CONFTQFNTTAl
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:
^__
CHEMICAL NAME
ro-f_________ oTM_j?L7-:&3I-l
PLANT ________ CL^____________
PLANT NO.
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE CA,S OR P)
A=AREA S=SHORT TERM P*PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO )* 8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT # J
-*&&**-
~~2Z2.:::: ____ J&JULa*.
jSi. _________ __________
.Jl
J.
SAMPLE CONCENTRATION RESULT___________
COMMENTS!
^RESPIRATOR TYPE: 1 = NOT USED
2 * MOUTH-BIT 3 = HALF FACE
4 - FULL FACE
5 = AIR SUPPLY
6 DUST MASK
RAW DATA:
START TIME: D 7 t- O ' STOP TIME: /^TsO
BEGINNING FLOW RATE: ENDING FLOW RATE:
2-* a ./
Co COAyp
9>S49
^Cfr/V7-
M/.
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR:
__
CHEMICAL NAME
_________ OKU_____
PLANT__________C--J&LPLANT NO. &t-6/
SAMPLE DATE (MMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA S=SHORT TERM
P-PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6)* S UR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO.
IH JOB ASSIGNMENT # -V:
____ jT&X.______ ____
7JLZ
JL. ....... ________
J2A.
SAMPLE CONCENTRATION RESULT ___________
COMMENTS:
^RESPIRATOR TYPE: 1 = NOT USED
2 MOUTH-BIT 3 = HALF FACE
4 = FULL FACE
5 = AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME: <=>7Vj"
STOP TIME: /fVQ
BEGINNING FLOW RATE: ENDING FLOW RATE:
Z.
2~. c> o
DO 091 5DO CONFIDENTIAL
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR: ___ XJL__ CHEMICAL NAME_____ (&< flfr? TO S_________ DRIt
J22jL
PLANT _________ ____________________
PLANT NO. -RJsAJL.
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA S*SHORT TERM P-PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6)* S UR 12 HOUR SHIFT SHIFT 1, 2, OR 3
EMPLOYEE I.D. NO. IH JOB ASSIGNMENT # -
____JAsY-CilL_______
.J--4-------------------
--f-----------
______QJ.
SAMPLE CONCENTRATION RESULT____________
COMMENTS 1
^RESPIRATOR TYPE 4 = FULL FACE
NOT USED
2 a MOUTH-BIT 3 = HALF FACE
5 = AIR SUPPLY
6 = DUST MASK
RAW DATA:
START TIME: g> 72*
STOP TIME: BEGINNING FLOW RATE: ENDING FLOW RATE:
2. </
-zrrr
DO 091551 CONFIDENTIAL
INDUSTRIAL HYGIENE SAMPLE CONCENTRATION DATA ENTRY
NAME OF INVESTIGATOR!
________
CHEMICAL NAME
____________________ DR#
PLANT
________ ____________________
PLANT NO.
SAMPLE DATE CMMDDYY) SAMPLE NUMBER SAMPLING TIME IN MIN. SAMPLE VOLUME IN LITERS SAMPLE TYPE <A,S OR P)
A=AREA S=SHORT TERM P=PERSONAL IF AREA, DESCRIBE RESPIRATOR TYPE Cl TO 6)# 8 OR 12 HOUR SHIFT SHIFT 1, 2, OR 3 EMPLOYEE I.D. NO. IH JOB ASSIGNMENT 41 J
Z_.
\zzzzzvMkz::
--JL______
"jzztzzzz'
:____ i>j_____
SAMPLE CONCENTRATION RESULT
i
COMMENTS:
^RESPIRATOR TYPE: 1 = NOT USED
2 = MOUTH-BIT 3 - HALF FACE
4 = FULL FACE
5 AIR SUPPLY
6 DUST MASK
RAW DATA:
START TIME:
'
STOP TIME: 6 q r jV"
BEGINNING FLOW RATE:
ENDING FLOW RATE:
*-*
1.2_
DO 09155? CONFIDENTIAL
