Document Z4k9LxVeQ7dqdVd4RpedLLzRZ

VCM Epidemiological Study - Individual Work History Form A - Workers known to be alive 463 - H. L. BERRY 1. Date of birth 11/9/21 i 2. Date hired 5/26/52 Status: 3. Now employed Yes 4. Retired (give date) ________ 5. Terminated (give date) _____ 6. If retired or terminated, please state how you know that this man is alive. Job no. 1 TEL 2 TEL 3 TEL 4 CHA 5 TEL 6 TEL 7 TEL Job history with estimated exposure Title 4th Floor from 6/1/55 2nd Floor t to from 6/7/56 4th Floor to from 6/1/56 "C" Section to from 7/30/56 4th Floor to from 3/11/57 3rd & 4th Floor to from 3/30/64 * Evap. Operator to from 4/28/64 to (CONTINUED ON REVERSE SIDE) Check estimated exposure in ppm *50 50-199 200-500 >500 NONE NONE NONE XX NONE NONE * NONE EC ?936> c . C. 8 TEL 9 TEL 10 CHA 11 CHA 12 CHA 4th Floor Blender "C" Section 02 ETCL-DEA Operator DEA Operator 6/22/64 10/12/67 2/10/69 12/9/72 8/22/73 NONE NONE XX XX XX FC 2937