Document Y9wvNrz1MRGQq8QqE7Rj5wxaN

ABD00342712 CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A) SAMPLE N 1179 A ABD00342713 CONOQO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY DATA CARD (B) CAMDI _ K|0 1 i 7Q . M/ Hazard: VCM Lead Noise Time Clock (Lead Sampling Only) : IN ow( Jr Date AM( ) PMfc>T OUT . r" r AM (><PM( List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent. Time Area Time List most likety causes of possible overexposure to the hazard. 1 /C0^ oeAV_____ 2_ 3.. Check respiratory protection you used: (^^None ( ) Dust Mg^k Air line Respirator Signature Please complete and return to guard ( ) Scott Air-pak