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INDUSTRIAL HYGIENE SURVEY OATA SHEET (See Imtruetions on reverie .idel
THE THAVELEHS INSURANCE COMPANIES HAFlTrORO. CONNECTICUT 00183
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Genuine Parts Company - Raylock Division
Hancock, MD
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SAI 2983A6983
(3 SAM/CAO CAM Q PIELO (AMO.)
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10/30/90
CLAIM D CSSC D OTHeR (fiXPLAINl
Air Sampling Pump
INSTRUMENTATION Cilian
""HFS 113
SERIAL NUMBER
1990
TIC NUMBER
21/82
REASON FOR SAMPLING - INCLUDE PROCESS OR OPERATION DESCRIPTION & CONTROLS
Customer is working with asbestos containing'materials throughout their facility. Work includes the stripping
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and drilling of these materials. These operations may cause asbestos materials to be released to the plant
environmentLocal exhaust is provided in most areas.
CObbCCTIO*
MSPIA
Millipore Filters
Asbestos (including TEM analysis)
SAMPLE DATA
-.TIC., 'IHSTfJ
Sample
number
SAMPLING LOCATION (INCLUDE EMPLOYEE'S NAME)
COLLECTION TIME COLLECTION
DURATION
Sun
End
(MINS)
flow^ R ATE ?
SAMPLER POSITION
NUMBER OF PERSONS
IN AREA
EXPOSURE SHIFT TIME' DURATION (MINSI (MINSI
2:1/82 1.176!-, Roger Daly - Clutch Disc 7:57 8:51
59 2 IfM ; ;P5
2 980 510
( 1771
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tt
8:51 9:37
96
II
II
It
II 11
if 1651 ft 1611 1561 n 1521 i< KISH
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M
9:37 10:53
76
II
FI
H
II II
l
10:53 12:01
68
It
M
II
II 11
It
12:29 2:01
92
11
tl
II
tt It
tt
. 2:01 2:53
52
II
-
It
ft II
It
;2:53 .. 3:07
59
II
It
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II tt
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Baltimore
C*1S636 PHnwd In u.S.A.
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David W. Classman.
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COMMENTS
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JO/-3J/90
N O V 020422