Document Y2YKOj3k13p8KMRmn9gBVbvN

PLAINTIFF'S EXHIBIT C CONSOLIDATION OF PHYSICAL EXAMINATION PROGRAMS IS PERSONNEL DSP. On September 27, 1951, a meeting was held, in the Refinery Superintendent's office for the purpose of discussing the general subject of toxicity of agricultural products and the physical examination program established to protect employees work ing with the toxicants against overexposure. The notes of this discussion are attached (Exhibit A). As indicated in the notes covering the September 27, 1951, discussion, Mr, Barton expressed the opinion that the various special medical programs in effect at the refinery should be consolidated and handled by a central body, preferably the Personnel Department, The details of working out a tentative procedure were dele gated to the departmental representatives in attendance. With reference to the physical examination program as outlined in Head Office Personnel's letter dated June 8, 1951, under the subject "Physical Examina tion Employees Handling CBP-55 and OS-1199" and later supplemented by Head Office Personnel's letter dated August 29, 1951, the following procedure has been developed to provide the machinery necessary for maintaining proper records and adequate x controls. Upon the recomnendation of Dr, Hine all employees working in the following occupations at the locations indicated should receive an initial physical examina tion at which time a complete blood count and urinalysis should be made, ^ 1, Compounders working on second floor of Insecticide Plant E,G, Price L,J, Fereira, Jr, C, Shrubsall Blender A Blender B and A relief Blender B relief 2, Fillers at the Insecticide Plant H.A, Foster G, Morgan C Jones RiJ* Winner C, Hughey D3, Rivera Package Handler A (Filler) Package Handler A (Filler) Package Handler A (Filler) Package Handler A (Filler) Package Handler A (Filler) Package Handler A (Filler) 3, Fillers at the Light Oil Filling House filling insecticide containers Gordon Ferreira C, Agostino Sub Foreman Package Handler A (Filler) Form (Exhibit B) has been developed to record the incidence of exposure and material to which the employee was exposed. This record is to be submitted to the Personnel Department on a monthly basis. The data contained an this report is posted to the individual employee's record (Exhibit C) and it will be this sunmary sheet which will indicate whether the employee has received significant contact to warrant a re-examination three months after the initial examination. Subsequent examinations, if warranted, will be made st six month intervals. The following forms have been designed by Dr, Hine for use in this program. Copies are attached. LAM 026403 ABS-044337 1* Fora I - Occupational History This form is to be completed before the employee is sent to the physician for initial examination and a copy given to the arram-in-ing physician for his information* 2* Form II - Physician's Report of Examination This form is similar to our standard physical examination report but has been expanded to include additional information believed necessary for the purpose of this program* 3* Form III - Special Re-examination This form is to be used to record the results of the periodic re examinations* It may also be used in the event a sudden acute exposure or suspected chronic exposure necessitates referral to the physician* 4* Form IV A - Complete Blood Count (a) A complete blood test now is required only at time of the initial examination/ the three month re-examination and the final examina tion when the employee ceases handling the products* (b) At the six month interval re-examination/ the hemoglobin and white blood count laboratory tests only need be performed, (c) If the doctor or laboratory making the blood test does not have the equipment for the "albumin/globin ratio", a "BSP liver function test" will be acceptable* 5* Form IV B - Urinalysis Dr* Hlne indicated that the urinalysis need only be performed at time of initial examination/ three month re-examination and thereafter to coin cide with the six month check* This test should also be performed in conjunction with the final examination* The above forms should be prepared in triplicate and the original of each form sent to Dr* C.H. Hine, c/o Dr* K*R* Edlund, Shell Development Company/ Emeryville/ California* The duplicate copy is to be retained by Personnel and the triplicate held by the physician for future reference. Dr* Hine stated that wherever practical initial examinations should be given employees prior to their transfer into an assignment requiring them to come in contact with the toxicants. Therefore, to accomplish this objective, it will be the responsibility of the department concerned to give the Personnel Department adequate notice of any proposed change in personnel working with the toxic materials in order that arrangements may be made for scheduling the required physical examina tion* It will also be the responsibility of departments concerned to advise Personnel of employees no longer exposed to these toxicants in order that final examinations may be scheduled* All physical examinations will be performed by Drs* Coates and Bradshaw and the billing for such services will be directed to the Personnel Department for review before approving for payment* At the suggestion of Dr* Hine, the blood count and urinalysis examinations will be made initially by the Shell Development nurse at the refinery First Aid dispensary. Subsequent sampling will be performed by the refinery First Aid Attendant who is a registered nurse* He will forward such samples to Emeryville, c/o Dr* Hine, for analysis until such time as he is able to perform the analytical work locally. Details of arranging for physical ABS-044338 LAM 026404 examinations and related work will be worked oat between Personnel and the department concerned* In the staffing of jobs requiring employees to come in contact with these toxic materials, no person should be selected who has a history of tuberculosis, chronic respiratory disease, liver disease, kidney disease or chronic skin conditions, nor should persons who are alcoholics be permitted to work with these toxic substances. Any questionable case should be referred to the Personnel Department. With reference to the special physical examination required of employees in the Piapatching Department associated with the blending of tetraethyl lead com pounds with gasoline^ the present program is as follows: 1. All operators working in the ethyl blending operation, specifically the Pumper/Gauger Specials and the Zone 4 Gaugers, undergo an annual exami nation by a duPont doctor. These examinations are usually performed in August or September and arrangements are made by the Dispatching Depart ment to have the men available. A report from the examining physician is received by the Dispatching Department Manager shortly after the examinations and indicates thereon the employees approved for continued work in this activity. 2. Employees transferred to either a Puraper/Gauger Special or Zone 4 Gauger position should receive an examination either before reporting for duty or immediately thereafter. This examination should be made by either Dr. Coates or Dr. Bradshaw as they are familiar with the requirement* In consolidating this program with the other medical plans in the Personnel Department, it will henceforth be the responsibility of the Dispatching group to advise the former department of employees requiring interim examinations and also those employees who should receive examinations at the annual affair. A11 correspondence and record keeping will be handled by Personnel. In connection with the special physical examinations required of employees working with radioactive isotopes, Dr. Hine, in his letter of January 29, 1951, to Dr. W.A. Bailey, suggested the following program: 1. An initial physical examination including a chest x-ray. The physical examination could be carried out at Emeryville according to Dr. Bine while the x-ray could be taken locally (Drs. Coates and Bradshaw). 2. Physical examinations to be repeated at six month intervals. 3. Blood examinations at three intervals to be performed locally (Drs. Coates and Bradshaw) with the request that a whits blood count and differential count be performed. A copy of the results obtained should be forwarded to Emeryville for retention in their files. 4. Dr. Hine strongly advised the establishment of a film badge service as protection to employees and also to comply with legislation. Arrangements were made with the Industrial Health and hygiene Associates, 2390 Ellsworth Street, Berkeley, to provide the service. Badge films are to be forwarded at weekly intervals to the service which will make a monthly report as to the amount of exposure the individual was subjected to as well as other pertinent information. The program suggested by Dr. Hine was adopted and has been in operation since February, 1951. lam 6405 ABS-044339 Under the proposed arrangement where all medical programs would be cen tralized in the Personnel Department, it will be the responsibility of the Research Department to submit on a monthly basis certain data as to incidence of exposure of those employees working with radioactive isotopes* This information can be reported on a form developed for this purpose. (Exhibit B), The Research group will continue as in the past to send the exposed badge films to the badge service company at weekly intervals* Their report should be directed to the refinery Personnel Depart ment for review and discussion with the interested parties in the Research group* OCTOBER 30, 1951 tA 026406 ABS-044340 EXHIBIT***A** SUMMARY OF DISCUSSION PHYSICAL EXAMINATION EMPLOYEES HANDLING CHEMICAL PRODUCTS A meeting was held in the Refinery Superintendents office Thursday, September 27, 1951, starting at 3:20 p0m Those in attendance were: Dr. Hine, Shell Development, Emeryville, and Messrs. Barton, Bland, Evenson and Harrison of the Martinez Refinery. Dr* Hine opened the discussion by reviewing briefly the material which has been developed on the general subject of toxicity of agricultural products by his office and the New York offices of Shell Chemical Corporation and Shell Oil Company* He made specific reference to the following material, copies of which have been received at Martinez: 1. Physical Examination Employees Handling CBP-55 and OS-1199, under date of June 8, 1951* 2. Toxicity Manual Chemical Products No. 1 CHP-55 and OS-1199, under date of June 8, 1951. 3. Toxicity of Agricultural Products, First Aid and Treatment CBP-55 and OS-1199, date June 6, 1951. 4. Physical Examination Employees Handling Chemical Products, dated August 29, 1951. (This comsunication advised that the program had been extended to include employees handling Dieldrin, Aldrin, TEPP, Toxaphene, DDT and Pentachlorophenol. Dr. Hine advised that in the company of the Safety Engineer and Mr. Lounsbury, he had just completed a tour of the Refinery where the facilities for handling, filling and loading the agricultural toxicants are located. He remarked that from what he had observed in this brief torn* that the following personnel, in his opinion, are subject to enough exposure to these toxicants to be included under the physical examination program: 1. The Compounders working on the second floor of the Insecticide Plant. 2. All Fillers in the Insecticide Plant. 3. All Fillers at the light Oil Filling House working with the toxic insecticides. Following a lengthy discussion on whether employees transporting insecti cide containers should also be included in the program. Dr. Hine stated that he did not feel that such employees received sufficient exposure to warrant their inclusion, at least at this time. He added if the data obtained from physical examination and laboratory work of those employees initially included under the program indicated that the program should be extended to other groups then steps would be taken to make thi3 possible. Dr. Hine also remarked that he later may wish to reconmend some changes in the refinery loading facilities, particularly in regard to drainage from equipment hanHUng toocic material. In connection with local doctors who might be able to handle this program for us. Dr, Hine advised that Doctors Coates and Bradshaw have recently completed LAM 026407 ABS-044341 -2~ physical examinations, as outlined under the program, to several employees of the Shell Chemical Martinez Plant, and was confident that we would encounter no difficulties if they also handled our work* The usual fee according to Dr* Hine, for this type of examination is from $5-$10 plus laboratory fees which run about $23*00* It was agreed that the program should be instituted as soon as practical with an initial examination given to those employees working in the positions outlined earlier in the summary* Such employees would be re-examined three months after the initial examination, providing that there was significant contact during that time* Re-examination would then occur at six month intervals* (While the specific subject was not discussed the procedural letter of June 8, 1951, states that an exit examination is given to each employee at time he ceases handling the products, unless he has been exposed for less than one month from date of last examination*) It was also concluded that employees selected to work in either the compounding or filling assignments should if at all possible receive a physical examination prior to their transfer into the group* Dr. Hine stated that he felt it desirable from a data accumulation view point to have each employee concerned undergo the laboratory sample work at monthly intervals. The ensuing discussion pointed out that due to the general low level of employees in the classifications previously mentioned it might be poor psychology to schedule the laboratory work at such frequent intervals. It was concluded to obtain the laboratory samples at no more frequent intervals than the general periodic physical examinations* In connection with the laboratory analyses which commercially amounts to approximately $23*00, it was agreed that the Emeryville nurse, experienced in taking the required samples, would visit the refinery First Aid dispensary and do the initial sampling. After observing her technique and following instructions, it was tentatively agreed that the new refinery First Aid Attendant, a registered nurse, could do all subsequent sampling and in turn forward them to Emeryville for analysis. In this connection certain laboratory apparatus will have to be purchased and Dr. Hine, at the request of Mr* Barton, stated that he would prepare an itemized listing of the equipment required and mail it to the refinery. The cost was estimated to be $150*00* In connection with the program it was agreed that certain basic records would have to be developed which would indicate the incidence of exposure for each employee working with the toxic insecticides, type of material exposed to, etc* These records would be the control for scheduling re-examinations* It was suggested by Mr. Barton that for efficient operation and to avoid duplication, these records should be maintained in the Personnel Department* The development of the records, mechanics of reporting, etc., he stated, should be worked out between the principals involved (Insecticide section of the Lubricating Oils Department, Fire and Safety Department and Personnel). In concluding the meeting Mr* Barton expressed his appreciation to Dr* Hine and extended an open invitation to him to visit the refinery whenever he could. It was agreed that whenever a batch of Bladex or other toxic material was scheduled to be processed, Evenson would contact Mr. Barton a few days in advance so he could in turn advise Dr. Hine who had previously expressed an interest in observing this operation. Meeting concluded at 4s30 p.m. October 30, 1951 LAM 026408 ABS-044342 oo go > e> ' 1^ aa>o H* 1 O njWO IIt "O-3 RDH13i3Uc+ 1c33r 1rMOOGPo33>rT H3O 9! O H to P GO l a O ca*- oas H*OCO3- C3 O 3i |M IN) Lo ItK* |o hJ lo So Is 8. IP I is a IS n CO IP I IS 8 *s IS - is 1 IS & 3" O 8~ Irwo INN> Is IP IK IK IS IK LAM 026409 IS IS ABS-044343 I A B CWeekly Period Al^r-fo DDT D le ld rln a 8 PerrtaGhlorophenol TEPP w F Toxophene aa oa 8. 5- 5- % aa aa a o Oa I Radioactive Isotopes ff Occupational H istory* L is t .in reverse c h ro n o lo g ic a l o rd e r. Give past fiv e years o n ly unless p r io r to five, years in vo lve d exposure to in d u s tr ia l hazards (d u s t, chem ical, fumes, extremes in tem perature and p re ssu re ). ro+- cp+ 3* o 33 e> 33 3 o 0o4Q 0McJ3+- EJ* >OO33-. at m P w3N. PCM+- 5 oMl<->. CHO* o3 Ocr P CO 0) O P 13CHO+- 4-1 a XJ 0 OO.' oH* P >3o c4p+ 3 p 3o M p $ (0 CO X(45-J> w m I-1) o cHp+- 3 3c+ Oc<f2-DDJf S 5a o 3" BCD EC h. 3O (oaM3!).. ah.>oPq* c3+ CO 3M. 1H-3. og 3 CO c3+*33 33 <+ + a cp** 3 lam 026411 II ABS-044345 Cl t) s -- a < o3 3 33* z 99 -- t <> t--J o" 99 O 3 99 -- -- o a3 . CL 3 o3 a. - m io(/) 9u >7co) n Tcj -- =r -o 3 -- e s. = -- o> 9 so cr 3 o 53 9 09 -- T3 --- o c m o <-- -- -<,-- o 3 " --*4- *3 o TO *3--. o3 3 oIT --a9 hi 2" cf- ^*^003 e-----3Or<4+** 0--3<--OO33CO309300.o(C33D3./=4oa--O--330-. 93o2----oO9> '1 --9 n -- CL t a. a. 3 30 30 9 --4 -- 0) ro ro OO go <3 3* O <?"? g 33 3-- 3O 9 o a. c/> or J O O* i } =^B -s cmn *o --3 o c3: m-o 2 0.0*-- h. CL 33 m 3l c 3T" G><-J - 30GO > O4--* 43--- O--3 O3--- -- O 3" 3 3 O -- -K < to __ --I 00 -- -- -- 0.0- -- O 5S .? CO 39* Oe 3 C " C 4- 3 C C93L 939 --c " --. a to O *93 93 9 O. --< S O3 ---- 99 -- T5 -- 3>K S 9 93-- 9C333C 9 CO fl) *< CO > c/) O') 990 OO S' ft MM 4> 9 9 30 0 O O- O /4- 3 c 9 /4* 3 C -- a. 0 *0 3 -- O93" 93vQ 3 3 -- a. # 3 -- or IS iO 3 9 a3 * to O* r+> 9 g r+> 9 3 9 cr 3 o 3 B 09 <-- 99 -- to < O 03 0 -- C O 9 wO - 3C a. 3 (0 Q. n2W sS; 3 -* oT g 9 9 o9 6 3* C cr -- 9 3 < Q. 3 3 O 9O 9 C/> 3T" -- O TJ O W TJ a -* 3* **< ----3 -K 3 o tO -- <3 o> z -n z > ao *^"1 < O O-- B z zo 9 9 3 9 -4h TO <0 e OC s*.o e O to O3 -- 33 3 o oB 9 9 3" O 9 m X <o 9m e: 3 --i 3 z a. 73 3 mO cc o o r> r> 993 m o *T? 9 r- 30 3* < o 9 3 93 9Z > or 9 to cr O so O9 79 a. "O C3 3 N m a. C3 c 3 9 m9 OO <9 oo Z a. < 3 w -H 3 9 O 99 3 so 3 9 O z T3 *-L 9 x> 9 O 9 3 9 a. a. 3* 3O *< O SO 30 n O o iO < 9 * --3 -- --C 39 O 93 9-- r~ <-- --T ' LAM 026412 ABS-044346 026413 ABS-044347 P h y s ic ia n 's Name S tre e t Address__ C ity and S ta te __ > O* 3 O so (B M 04ra0 4 .03 co+r a*3 CcoB ST << 03 .03 SO P+ O MSC M r Ml-tOasl swno o4c3 cs<+o5 ooMi CD 01 3 4 D, 3 f *t> M* H CD CD !-} M SO S3 C+ OH o s P h y s ic ia n 's Name S tre e t Address__ C ity and S ta te __ 0t-0* >MCao > 03 03 Hc+j (e-*+ cB+> (OS3 O.O 4 H' (40 ch+. 3a Csw_ 4 H P* H M> O* 4 3 4* S,ro 3 <d " 5P |TO .030 03 c+ CD 4 03 SO 0H1. Sc SSO* ef 8 4 CD .CD B ct- $J S3* 5 K) o3c+ M fat t. LAM 026414 III II ABS-044348 Name: Date: RBC WBC Hemoglobin Differential Neutrophils Segmented Non-Segmented Lymphocytes Large Small Monocytes Eosinophils Basophils Myelocytes Abnormal Cells Nucleated Reds Albumin/globulin ratio Sedimentation Rate Coagulation Time Bleeding Time Icterus Index Form IVA Complete Blood Count Physician's Name Street Address__ City and State 1 LAM 026415 ABS-044349 Form IVB Urinalysis - -- -1---------------- --------- ------------ ---------------------------------------------------------------------------------------------------------------------------------------------Name: Date: Quantity i Color , Transparency Odor Reaction Specific gravity J Albumin i Sugar Acetone Microscopic , Casts per LPF I 1 VBC per HPF RBC per HPF Crystals , i Physician's Name Street Address__ City and State j i ! i \ <! li i i l ji j j j i LAM 026416 ABS-044350 PRIVATE AND CONFIDENTIAL ^ CONSOLIDATION OF PHYSICAL EXAMINATION PROGRAMS IN PERSONNEL DEPARTMENT Due to the Increasing number of special physical examination programs in effect at the Martinez Refinery, it has been decided that henceforth all such activ ities be consolidated for administrative purposes in the Personnel Department. To provide the machinery necessary for maintaining proper records and controls for each of these programs, the following procedure has been developed. In conformance with Head Office Personnel's letter dated June 8, 1951, under the subject "Physical Examination Employees Handling CBP-55 and OS-1199" and later supplemented by their letter dated August 29, 1951, "Physical Examination Employees Handling Chemical Products" and upon the recommendation of Dr. Hine from the Emeryville Laboratories, all employees working at the following locations are to receive an initial physical examination, complete blood count and urinalysis. 1. Compounders working on second floor of Insecticide Plant 2. Fillers at the Insecticide Plant 3. Fillers at the Light Oil Filling House filling insecticide containers Form Exhibit A has been developed to record the incidence of exposure and material to which the employee was exposed. This record is to be submitted to the Personnel Department on a monthly basis. The data contained on this report is posted to the individual employee's record (Exhibit B) and it will be this suninary sheet which will indicate whether the employee has received significant contact to warrant a re-examination three months after the initial examination. Subsequent examinations, if warranted, will be made at six month intervals. The following forms have been designed by Dr. Hine for use in this program. Copies are attached. 1. Form I - Occupational History This form is to be completed before the employee is sent to the physician for initial examination. A. copy is given to the examining physician for his information. 2. Form II - Physician's Report of Examination This form is similar to our standard physical examination report but has been expanded to include additional information believed necessary for the purpose of this program. 3. Form III - Special Re-examination This form is to be used to reoord the results of the periodic re-examina tions. It may also be used in the event a sudden acute exposure or suspected chronic exposure necessitates referral to the physician. k* Form IV A - Complete Blood Count (a) A complete blood test is required at time of the initial examination, the three month re-examination and the final examination when the employee ceases handling the products. Employees receiving initial physical examinations will undergo a complete blood count which will consist of sedimentation rate, coagulation time, bleeding time and icterus index determination. These would be in addition to what is commonly considered a complete blood count. (b) At the six month interval re-examination, the hemoglobin and white blood count laboratory tests only need be performed. LAM 026392 ABS-044326 (c) If the doctor or laboratory making the blood test does not have the equipment for the "albumin/globin ratio", a "BSP liver function test" will be acceptable. 5. Form IV B - Urinalysis Dr, Hine indicated that the urinalysis need only be performed at time of initial examination, three month re-examination and thereafter to coin cide with the six month check. This test 3hould also be performed in conjunction with the final examination. The above forms should be prepared in triplicate and the original of each form sent to Dr. C.H. Hine, c/o Dr. K.R. Edlund, Shell Development Company, Emeryville, Califcrnia. The duplicate copy is to be retained by Personnel and the triplicate held by the physician for future reference. Dr. Hine stated that wherever practical initial examinations should be given employees prior to their transfer into an assignment requiring them to come in contact with the toxicants. Therefore, to accomplish this objective, it will be the responsibility of the department concerned to give the Personnel Department adequate notice of any proposed change in personnel working with toxic materials in order that arrangements may be made for scheduling the required physical examina tion. It will also be the responsibility of departments concerned to advise Personnel of employees no longer exposed to these toxicants in order that final examinations may be scheduled. All physical examinations will be performed by Drs. Coates and Bradshaw and the billing for such services will be directed to the Personnel Department for review before approving for payment. At the suggestion of Dr. Hine, the blood count and urinalysis examinations will be made initially by the Shell Development nurse at the refinery First Aid dispensary. Subsequent laboratory work will be performed by the refinery First Aid Attendant who is a registered nurse. He will forward such samples to Emeryville, c/o Dr. Hine, for analysis until such time as he is able to perform the analytical work locally. Details of arranging for physi cal examinations and related work will be worked out between Personnel and the department concerned. In the staffing of jobs requiring employees to come in contact with these toxic materials, no person should be selected who has a history of tuberculosis, chronic respiratory disease, liver disease, kidney disease or chronic skin condi tions, nor should persons who are alcoholics be permitted to work with these toxic substances. Any questionable case should be referred to the Personnel Department, With reference to the special physical examination required of employees in the Dispatching Department associated with the blending of tetraethyl lead com pounds with gasoline, the present program is as follows: 1, All operators working in the ethyl blending operation, specifically the Pumper/Gauger Specials and the Zone 4 Gaugers, undergo an annual exami nation by a duPont doctor. These examinations are usually performed in August cr September and arrangements are made by the Dispatching Depart ment to have the men available, A report from the examining physician is received by the Dispatching Department Manager shortly after the examinations and indicates thereon the employees approved for continued work in this activity. LAM 026393 ABS-044327 -3- 2. Employees transferred to either a Pumper/Gauger Special or Zone 4 Gauger position should receive an examination either before reporting for duty or immediately thereafter. This examination should be made by either. Dr. Coates or Dr. Bradshaw as they are familiar with the requirements. In consolidating this program with the other medical plans in the Personnel Department, it will henceforth be the responsibility of the Dispatching group to advise the former department of employees requiring interim examinations and also those employees who should receive examinations at the annual affair. All correspondence and record keeping will be handled by Personnel, In connection with the special physical examinations required of employees working with radioactive isotopes. Dr. Hine has suggested the following program: 1. An initial physical examination including a chest x-ray. The physical examination could be carried out at Emeryville according to Dr. Hine while the x-ray could be taken locally (Drs. Coates and Bradshaw.) 2. Physical examinations to be repeated at six month intervals. Examina tions to be carried out at Emeryville, 3. Complete blood examinations and urinalysis, (Forms IV A and IV B respec<* tively) are to be carried out at three month intervals. The initial and subsequent six month examinations can be performed at Emeryville at the time the employee undergoes a physical examination. The blood examina tions and urinalysis at the three month interval mid-way between the Emeryville visits are to be performed locally by Drs. Coates and Bradshaw. A copy of the results in the latter instance should be for warded to Dr. Hine. 4. Dr. Hine strongly advised the establishment of a film badge service as protection to employees and also to comply with legislation. Arrangements were made with the Industrial Health and Hygiene Associates, 2380 Ellsworth Street, Berkeley, to provide the service. Badge films are to be forwarded at weekly intervals to the service which will make a monthly report as to the amount of exposure the individual was subjected to as well as other pertinent information. The program suggested by Dr. Hine was adopted and has been in operation since February, 1951. Under the proposed arrangement where all medical programs would be cen tralized in the Personnel Department, it will be the responsibility of the Research Department to submit on a monthly basis certain data as to incidence of exposure of those employees working with radioactive isotopes. This information can be reported on a form developed for this purpose (Exhibit A). The Research group will continue as in the past to send the exposed badge films to the badge service company at weekly intervals. Their report should be directed to the refinery Personnel Depart ment for review and discussion with the interested parties in the Research group. December 19, 1951 lam 026394 ABS-044328 MONTHLY REPORT OF EMPLOYEES EXPOSED TC TOXIC MATERIAL --ir * ai (6 f si si oh o| CH <o| -3| cn| cvi H| a> 6 H +> P td a H CoO a> a Q o Os G PH rH oe XG OH P H 8 hj] CcdO H C (0 P C td gCaO) G r3H *6 x(X G g P CGQ T3 O ^o P w G cd GG P X3 PO C Gp XQ- cd C G G TG3 O OI .s n G I H>o1 I o<id I O C O o o CoO w a a k G Pcd 8- G o `'d CO c% H G & O H * G oc X! G OX H aoCh CuO o p xo c H fe cd xrSH>h bQ ri-Hl- Pc0) G < Q CX tu P <H IIII <s m o'O O ccupational H is to ry L is t in reverse ch ro n o lo g ica l order. Give past fiv e years o n ly unless p r io r to fiv e years involved exposure to in d u s tr ia l hazards (d u s t, chem ical, fumes, extremes in tem perature and p re ssu re ). ABS-044331 a 03 Pca Q Pa P<j Q) ad cOo .Pg != CO P<aba)o T<JD rH avH n*a a4> XO5 Go <u aOHPj "S o r4 f<5rt r--oI pcaB> Pfu H CmH CO r--aC3OI o Oo Dcau aa). Q03 4*"O33 0aO) 8 Ol0Hh) 00)) r{ PQP ao ri P'aHoHH) oc0af} rOi J*O-Qa aomrl Q>Hrl a CO p CO u <D rl ra < eo 4a> a 9ao3 0) Xcu p ca 25 33 CO Q gH P cS IS) rl o0fH0 03 P & LAM 026397 --9 C9 O 3) ac s-- 9-- C-- a. to -3 ato o *-- - L. 9 C_ 99 &9 a ++ to o +' -- Cc Q t- -- L. < +- *o Z CO 9 <J (9 N C <| Q-- --9- U--J 9 J S g <9 -- a LC _o a =a a 9 t_ a c. CO -- 9o 9 o Ui ^ V o to ^ a a. *o O a. c > -- Z Q- C QO cl a *-- a j a. o -- -- as 9O CL 09 C Q m c c a o oc 1 J3 o U- O--' ---H* o-- _ -- o o a 9 C. L -- -- (fl B 0 90 ~0 O t- 9Q99jC "9 a -O -C " `0 9 U 9 - a vo o Q to o a.s S5 O 1. _ (J -- oos a .2 o Ca cs oc --s 9M --O O-- 9^ O0 U9 ~2 --9 u* s i? 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VO o uj ac z a. -- a CCCOOM O COI CQ < CO -ap Oo pa o | < (U \a I Uo o <s _ a^O *r( at O* at cd -P S -O gSgs.5ll at a ,i -op S ! at *h a> at 33 ft I O h ftJQat Form I I I S p e cia l Reexamination LAM 026399 m CH |3 Ixp >to at 0 IIat -p at 0*41 5<pa oA Cft A. -rl S m o at ft at P> P CQ at Oo ft w 33 a p* S5 at iHp A3 W !G S ICO *o CD 30at at o o at M (4 "S 3 at at ^ -p JS Hat ft MO wv O+> ABS-044333 *) T<3U H cooP .. 3S *h-aa+>j. Op0s) c+-oc.o. tooS bf-to HO Ha) 09 ~O2 aa> a<uXaJ +X>! *Sh faej O> c3o q oOs aa), +to 0) q a09 PHYSICAL EXAMINATION *H Q,M ai ,, ,, Wo :o*>'a$ to too <o! xOi LAM 026400 CO >i <Ma Mc -wo 3u Ma Hto t-t to os o< 2cO aX3 +cQd CO, uo i<*1> H3 xCi 03 05 C ABS-044334 Name: Date: RBC VBC Hemoglobin Differential Neutrophils Segmented Non-Segmented Lymphocytes Large Small Monocytes Eosinophils Basophils Myelocytes Abnormal Cells Nucleated Reds Albumin/globulin ratio Sedimentation Rate Coagulation Time Bleeding Time Icterus Index Form IVA Complete Blood Count i i Physician's Name Street Address City and State__ -______________i LAM 026401 ABS-044335 Name: Date: Quantity Color Transparency Odor Reaction Specific gravity Albumin Sugar Acetone Microscopic Casts per LPF WBC per HPF RBC per HPF Crystals ' Form IVB Urinalysis Physician's Name Street Address__ City and State__ i LAM 026402 ABS-044336 SKVffloaa 'Tvoiaaw RUUi BEST ,, available COPY "X A LAM 026391 ABS-044325