Document VJQzrN1GxYqvRkLLO6DbvgYJq
ENGINEER1N
INDUSTRIAL HYGIENE SURVEY DATASHEET (Sea Imtruelloni on reverts ildoi
THE TRAVELERS INSURANCE COMPANIES Hartford.CONNECTICUT06183
CUSIOMCN
(Location 2-5-1211 iccsriof
GENUINE PARTS CO., INC. - RAYLOC - PAYSON
700 North 500 East
Payaon, Utah 84651
PAGE
OF
1 1 J-L-
March 29, 1989
UB 168 T 3075
LOW FLOW SAMPLER
SERIAL NUMBER
TIC number
2739
16-87
1525
2-85
S D D ClSAM/CAO
CAM OpISLOIAMOJ CLAIM
.C8SC
OTHER (EXPLAIN!
INSTRUMENTATION
MANUPaCTWM*
CILIAN
M0(l
LFS-113
REASON FOR SAMPLING - INCLUDE PROCESS OR OPERATION DESCRIPTION & CONTROLS
Assess employees1 potential exposure to perchloroethylene vapors in the Cleaning (DlaaaaenhlvV Room. Perchloroethylene la used aa a degreasing solvent In a Vapor Degreasing Unit provided with vapor condensation colls.
~L----
eouxriOR (umpunsI Mien
CHARCOAL TUBE
sRAiMirntoviAta'
PERCHLOROETHYLENE gXTJT ~--
~ TIC INST
'NO.
SAMPLE NUMBER
SAMPLINO LOCATION (INCLUOE EMPLOYEE'S NAMEl
COLLECTION TIME COLLECTiOh
DURATION
v/.gftd
(MINS)
FLOW
RATE
I'r /frfli
SAMPLER POSITION
NUMBER OP PERSONS IN AREA
EXPOSURE SHIFT TIME OLAATlOt (MINS) (MIN6J
CT-O Control Blank__________
:. _
..'
COMMENTS
\--
- -. -
16-87 16-87
CT-L Kenneth Ellis
1000
Cleaning Room Operatoi
CT-2 Kenneth Ellis
1238
Cleaning Room Operatoi
16-87 CT-3 Kenneth Ellis
1415
Cleaning Room Operatoi
2-85 CT-4 Center of Cleaning' 1001
loom at center aup-.
port
2-85 CT-5 (Same as above)
1250
1157 1400 1525 1250
1530
117
82 60 169
160
50 PR
50 PS
1 460 510 Cenernl venr11 a firm l 460 510 General ventilation
50 PS
i 460 510 General ventilation
50 GA r~ 12 460 510 General ventilation
1 50 GA /v?l2 460 510 General ventilation
Salt Lake City
C-1BB36 Prlnud (A U.S.A.
A RAF
(ROIHII*
J. E. David, III
i
NOV020070