Document aX50wbnjwn5DonzdkGoodw9e

......h*....... .............**...............whiwmimiiwpij............mo........................................................................................ .........Lntih.............. "*mifi......... ...........................................................................................................................................i.p = .ran........ ..................................................................................................... .................................*........................................, ....................,...............................|S,,,,r................. PH1P|lt s I -I : - J > .:! :*r|j -!'IHIp Hiir ~H In " * i^Jr. "HU'it*. I'M1'4H:'Mltrtl|r>d-H" - rr- *r t^ CONOCO HEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARO (A) NSSAMPLE 0794 A Huard: VCM (/I Name Department Ld ( ) Nolwl Date S.S. # tfif'ttr it 12.,. Shift..JH -Hf- .--:| : j| .................. VtHW ....... ............. ............. .. .................................................................................................................................................................................................................. .. hrr ^mniH ............ .. imn Analyst Analysis Date: Hazard VCM Noise Lead (Micrograms)i / PEL: 1 PPM Over ( ) TOT: Under ( ) PEL: _ .... 115dBA Per M3 TWA Exposure ,, / PPM % of PEL Per M3 . CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY NSSAMPLE 0794 A Hazard: VOW {)() Lead ( ) Noise ( ).----------------------------- ( ) Date Time Clock (Lead Sampling Only) : IN: AM( ) PMp^OUT: ) PM( ) List areas you sapnt most time in and estimate amount of time (nearest hour is sufficient) spent. Time Area Time List most likely causes of possible overexposure to the hazard. 1. 2. 3. Check respiratory protection you used: 5* None^ ( ) Dust Mask ) Air-line Respirator Signature Please complete and return to guard ( ) Scott Air-pak I- \ i VAB.0001069755