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ENV. OPR. S P.ESTQE SAMPLE RESULTS 1906
DATE
S4NPLEI FPRS0NNEL
DESCRIPTION
5B/o:/8B
8250 t3V-?!M:0i LABORER-OPERA)IPS BOIES IN LANDFILL
0B/IW88
BUB HJS-5M774 LABORER-ROUTINE LANDFILL OPERATIONS
:e BE
9225 038-52-8776 COYER OPR IN BLN 87 LANOflLL
DOR(BIN) VOLUME 111 F11/CC>541JCRUM
1B0 144.044
4.414
184 144.004
4.414
454 404.044
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i-HR TWA FII/CC PLANT
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(.010 EW. DPR.,'
0.414 E. OPR. V
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0.010 ENV. OPR. '
* PROPER PROTECTIVE CLOTHING AND A COHFO II HALF FACE RESPIRATOR WITH HIGH EFFICIENCY FILTERS HAS HORN DURING THE JOB.
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DO All 6747 CONF 1 DFNT T At
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DO A 110740 ( OND TOONIT T A(
Monitoring w
. ^ Person or Ar*o Menliittoorrevd.___ ^ ^ vi4lAi^
smpi.
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08250
__ Employ** 10 -j.
74, Job Classification.
Typ* Samplei^J^PermOnnel 0 An Q Excursion 0 Other--------------------------Date--^33
OtK*r Chemieols Present: ________ UO/Y^
Description of task performed during monitoring period Including ony unusual activities---------------------
OfaSK_ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ -1--_ _ _ _ _ _ _ _ - -
,,p/JU*pirator used 0 Ye* jl^Wo
Ending Plow Rat*
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fct D^:
Calibration Check PnarTO'Mon)
Calibration: 0^Rubbl*m*1*r
Rotameter
Oth.r_______
NOTE. Job description mvtf bo concise and complete.
LOU IdANA DIVISION INOUfTIIAL HYOWI
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Typo?--------------------------------- ---------------Wind, Tomp. and Humidity
3'<Ty X5*y 2l_
form filled in by_
Monitoring to, /&AfS7S Other Chemicals Present,
Person or Aj^ MomtomL
<-2-- vimpi.
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08248
Employ** ID --.
Job Ctotftflcatiort-
_____
Typo 5ampl*;^!^P*nonn*l Q Aroa 0 Excursion 0 OthorDot*__
D*impfion of task performed during monitoring period including ony unusual activities
/PgqTTWsT
__________ _______. _ -_____ _
Tim* Started-
F
Tim* Stopp*d__
boginning Row tor* ^ 0__
Respirator utodJtf*Yo
Ending Row Rot*_
3(eO .0
Calibration Check Prior to Monitoring? Yet Q No
Calibration: 0 RubMemoter
Rotameter
Othor--_----------------------------------------------
NOTE: Job doscription must bo concise and comploto.
^*8^ lOUtPAMA DTV1SJON PPMfTliAL NTOIM
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G^r'/o Typo?.
/ij /itjJA* /v/^y^y ~7"'
Wind, Tomp. and Humidity
form filled in by_
______
___ _ _ Person or Area Monitorod---jiC'Fi4^--,1^^/^
Monitoring -
Employ** It)
-32 %5''2-&Z7Aoh OwMcaMan,
______ Typ* Somplo: p0'>*fnn*l Ana Q fxivriipn Oth*f.
Dot.
'
Othor Chomicoit Present:
Doscription of task performed during monitoring period including any unusual activities-
Timo Started. Timo Stopped. ^^' jj\^A------------ ------- ---------- -------- --------------------------
beginning Row Rotw&L&_^JL- Respirator used 0 Y#4 IB^
Inding Flow Rot*_n?r 0------------
Calibration Check Prior to Monitoring? B^Yn Q No
Calibration; RwbbUmotor
Qr-totometor
Other.,___________________________----
NOTE; Job description must bo concise and complete
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TYb*?Wind, Temp, ond Humidity
In by--dl -. *Y^Form filled