Document jma34knO1Dwzmd7X4Zabe0xoR
ABD00096771
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A)
N2SAMPLE
0488
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY DATA CARD (B)
nosample .0488
Hazard: VCM {
_< I Date J-fa Lead { ) Noise ( )---------------------------
Time Clock (Lead Sampling Only) :IN:
AM(^ PM^ QUTi^rfot? AM^St PM( )
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
/"Area
^ime
Area
Time
Ok7fr? <9 , o--
----------------- ----------------------------------------------------------------------------
Check respiratory protection you used:
None^
( ) Dust Mask
( ) Air-line Respirator
Signature
2*^
Please complete and return to guard
( ) Scott Air-pak