Document e7DZKqeMzKZRka8NKKxjJ6OLy

ABERDEEN CHEMICAL PLANT--DOSIMETRY RECORD N2 1559 Name Social Securi Instrument No. Noise Cell No.. | HAZARD VCM Lead Antimony Total Dust Noise Shift Date 3073 Job Code Time Start AM(V)PM( ) MO Stop AM( )PM Airflow SAMPLE CONCENTRATION (Time Weighted Average) ^7 7 - PPM O --Micrograms/M --Micrograms/M 3 --Milligrams/M^ --% PEL Air Vnl. (Liters) PEL: --Micrograms/M^ 115 dBA? Yes / No Analryst__ ~ / Analysis Date____________________ Hazard: VCM (l/T Lead ( ) Amimony ( ) Dpst ( ) Noise ( ) < ) N2 1. I came to work at/____________ AM (c-1 PM ( ) 2. I left work at AM ( ) Firewateh Work? Yes /rNoACircle One) 3. I did the regular work of a (enter Job Class) 4. I used a respirator during the following jobs (check one 1* ^ None Dust Mask V J Air-Line Resp, Scott Air-Pak 1559 A 3M Air Hat 5. The following unusual events may have caused me to be overexposed: 6. Other comments and information (Use reverse side of card) Signature Please/Complete anc/return to Guard I i h I I i i I I j j' j i I I l, ji |l 11 II j| !| I l A VAB.0001067561 *