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Typo Sampfoi |5cPononnol Q Aron Excursion Q Other-------------------------------
Date 7-/7 r-g#_________
Other Chemical* Present:
Job Classification__ $gT------------------------------Description of task performed during monitoring period
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Type?__FC.fF __Q i.f.
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Caiibrati n Check Prior to Monitoring? [tf^Yes Q No nsoff
Calibration: [tf Bubblemeter
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LOUISIANA DIVISION INDUSTRIAL HYGIENE
DO A 1087F9 CONFIDENTIAL
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tack rOftftiAJG Dcdfe ^ ^2. Per* n or Area Monitored__ jftlJ-4 f
M nitoring for \//Af/L (IHIaRNMsIype Sample: |^ersonnel Area
Sample ^0 05611
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Other Chemicals Present: /tafyC&___________
Excursion Q Other
Date Jr-}']''% Y-------------
Job Owcificntin Op A r <r, ' ~ ..ST- --Description of task performed during monitoring period
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Calibration Check Prior to Monitoring? ffl^Yss Q No
Calibration:
Bubblemeter
Q Rotometer
Other
NOTE: Job description must be concise and complete.
LOUISIANA DIVISION INDUSTRIAL HYGI&IE
Type?
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DO A 108730 CONFTDFNTTAL
MARINE PERSONNEL EXPOSURES DOCK NO.
VINYL CHLORIDE .
VESSEL NAME
(s'/ORJL ft_________CLASSIFICATION_
JOB PERSONNEL MONITORED 2LASS
TASK. PERFORMED
SHIP
___ DATE_ 9-/7-?
SAMPLE DURATION
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PPM EXPOSURE
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REMARKS:
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J, L. MOREAU MARINE-IND. HYGIENE
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Sample ^0 05610
Monitoring for
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Excursion Other.
Date 7-/7-^_________
Other Chemicals Present: foe.j 0,1__________
Pr&fy LzjuZ_____
Time Started JflQQ___
Job Classification__ SO~T___________
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Ending Flow Rate 63.**7 S&&.
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Type?--P( ^ $A--Q > ....
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Calibration Check Prior to Monitoring? ftj/Yes No 7i'0p('
Calibration: [tf Bubblemeter
Q Bolometer
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Other
NOTE: Job description must be concise and complete,
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LOUISIANA DIVISION INDUSTRIAL HYGIENE
Block P0ft${Aj beak & J2- Person or Area Monitored- ttiUrp 0n Urat*Monitoring torAZ/Afyl, CJiLfiRlbSlype Sample: [^Personnel Area
Sample fS|0
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Excursion Q Other.
----------------------------
Date_^/7.r^-------------
Other Chemicals Present: -tnf>yLefJe.
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Job Classification. Vp'i.C
JfiL .Description of task performed during monitoring period
including any unusual activities__ <P <'
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Beginning Flow
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Respirator used
Ending Flow Rate
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Calibration Check Prior to Monitoring? Q^Yes Q No
Calibration:
Bubblemeter
Q Rotometer
Q Other
NOTE: Job description must b concise and complete.
LOUISIANA DIVISION INDUSTRIAL HYGIENE
Type?
AlP.
'ind, Temp, and Humidity
A/--ZMPH --7r
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