Document k6L40ogNv6xwD31vw48M2RNQE
r
v PLASTICS DEPARTMENT
INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT i%4
PERSON
EMPLOYEE NUMBER
AUDIO DOSIMETER SAMPLE
JOB CLASS So'T
PERSONNEL
DATE
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES;
^
,
7 /7 O /
7^-
r-CJL
1
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? EF^yes
NO
TYPE OF DOSIMETER L I'C*^ (V.
SERIAL
NUMBER 0Z S C>
CALIBRATION PERFORMED
nzzTIME STARTED I f.r
eT BEFORE
TIME STOPPED 7
AFTER SAMPLE TIME (MINUTES)
n
Dose % (80 db threshold)
^7
L avg db (80 db threshold
Dose % (90 db threshold)
o/ /
L avg db (90 db threshold
L max db (1 second) L max db (Time)
- 7"/
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
V-"' /
SAMPLED BY:
X-
is it it it it DOW
DATE Ml*
7
CONFIDENTIAL*****
DO 088140 CONFIDENTIAL
C PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT AUDIO DOSIMETER SAMPLE
PERSON /j/toJ /A
JOB CLASS $t4/%fcCK&J!
GK PERSONNEL
EMPLOYEE
NUMBER //O /
date
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? ^YES
NO
TYPE OF DOSIMETER /)a^ -/'//
R
SERIAL NUMBER
CALIBRATION PERFORMED /
M BEFORE
Ctime started fS-'s/>r TIME STOPPED
AFTER
SAMPLE
jsn D
TIME (MINUTES) 'VV ^
Dose % (80 db threshold) L avg db (80 db threshold
a1,
Ln.t
Dose % (90 db threshold)
L avg db (90 db threshold L max db (1 second)
, "5
S~j.o / $ /, *7
L max db (Time) L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
/b3-
f
0 '0 *>
SAMPLED BY:
DATE
lr
* * * * *D 0H
CONFIDENTIAL*****
DO 088141 OONFTDFNTTAL
V
PLASTICS DEPARTMENT
.`
INDUSTRIAL HYGIENE SAMPLE RECORD
L ulslana Division
PLANT
4
AUDIO DOSIMETER SAMPLE
PERSON 4^
JOB CLASS
To T~
PERSONNEL
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? S'
TYPE OF DQSIMETErP^^T"
SERIAL NUMBER
YES
NO _
CALIBRATION PERFORMED
TIME STARTED
o
eT BEFORE
TIME STOPPED
Dose % (80 db threshold)
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold
L max db (1 second)
L max db (Time)
L max db (1/16 second)
Dose % (8 Hr. Projected)
E3^ AFTER
SAMPLE TIME (MINUTES)
/
. M2-- 7?-f H OZ'/J
//p. ^
^ ; to H/f.o
(1!
> 115 db (Time)
SAMPLED BY:
mo#
DATE
^3--
* **0 0W
CONFID E N T I A L * *
no 08814? CONFIDENTIAL
PLASTICS OEPARTMEMT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
A.
AUDIO DOSIMETER SAMPLE
PERSON
JOB CLASS
o>
(3^ PERSONNEL
employee
NUMBER date ryp 3>/^~
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONNIITTCORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
WAS HEARING PROTECTION WORN IN HIGH NOISE
TYPE OF DOSIMETER (Jff\ K
AREAS?
0IT
SERIAL
NUMBER
_ YES
Q/H35
NO
O
CALIBRATION PERFORMED
TIME STARTED ft
_____
Iter BEFORE
TIME STOPPED
Dose % (80 db threshold)
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold
L max db (1 second)
LVr AFTER
SAMPLE TIME (MINUTES)
/ D
*r"-;*
*>
V
!r:
L max db (Time) L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
/f >-' L. ^
o: oo
SAMPLED BY: ___
AWfi
_____ DATE <r/a z/yJ~
* * * * *D 0W
CONFIDENTIAL*****
DO 088140 CONFIDENTIAL
*!
PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
L ulslana Division
PLANT
PERSON
EMPLOYEE NUMBER
.
AUDIO DOSIMETER SAMPLE
JOB CLASS
C3^PEPERR!SONNEL
DATE
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES: ^
/I
p ______________________________
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? _ LI
YES
NO
TYPE OF DOSIMETER j^)
ff\ ^ 5<
NUMBER O 3^3 ^ 7
CALIBRATION PERFORMED
Lr BEFORE
TIME STARTED 0
TIME STOPPED
Dose % (80 db threshold)
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold
L max db (1 second)
L max db (Time)
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
n LJ"-----AFTER SAMPLE TIME (MINUTES)
/
*?.-r //
* /______
~f. ? ///.y ,6 ' o o
// >: jr'
O'5 o
*"'V
SAMPLED BY:
PM
DATE syk^/fe
* * * * *D 0B
CONFIDENTIAL*****
DO 088144 CONFTDFNTT Al.
T
PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
fl
--
AUDIO DOSIMETER SAMPLE
PERSON
EMPLOYEE NUMBER t/jp
JOB CLASSDATE
ET PERSONNEL
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITiORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES: /7 . '
Y
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? 0^YES NO
TYPE OF DOSIMETER P);,^- A PV)
SERIAL
NUMBER A/?33 *
CALIBRATION PERFORMED
BEFORE
TIME STARTED
TIME STOPPED
Dose % (80 db threshold)
L avg db (80 db threshold
AFTER
2^9SAMPLE
TIME (MINUTES)
O.o
ns. 3
Dose % (90 db threshold)
L avg db (90 db threshold L max db (1 second)
a
ju \bC.L
L max db (Time)
^'3C/
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
hi.? r-
a'-0
DATE
* **D 0W
CONFIDE N T I A L * *
00 088145 CONFIDENT!AV
PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT f 6^ fi_____
AUDIO DOSIMETER SAMPLE
PERSON )gy\ S'
EMPLOYEE
NUMBER 43 6 ?//
JOB CLASS /YU.jpAj/DATE
0^ PERSONNEL
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES: (hfuJjliA'vt
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS?
\2T yes
D
TYPE OF DOSIMETER bl^rAf ft)
SERIAL NUMBER^ / Y 3
no
CALIBRATION PERFORMED
BEFORE
TIME STARTED
TIME STOPPED
Dose % (80 db threshold)
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold
L max db (1 second)
L max db (Time)
EK AFTER SAMPLE TIME (MINUTES)
fJL_____ r!3.3
3.7 LrA
do.?
Y:
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
/ '? .0
IT
O'.oo
SAMPLED BY: /Y\P K'DATE
/L'
DO 088146 CONFTDFNTTAI.
PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT ft^T~
PERSON
V
EMPLOYEE
NUMBER t/J3933
AUDIO DOSIMETER SAMPLE
JOB CLASS r.'ifws^r S^-
PERSONNEL
DATE /K/VP.T EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES:
n
'
f
(1
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? _ _ Q^YES
TYPE OF DOSIMETER
,,,
SERIAL
J /H jC~ ^ NUMBER
NO
CALIBRATION PERFORMED
TIME STARTED ( / r-
BEFORE
O'" AFTER
/^T SAMPLE
TIME STOPPED J, 7> TIME (MINUTES)
,
Dose % (80 db threshold)
3
L avg db (80 db threshold
T
,,
Dose % (90 db threshold)
L avg db (90 db threshold
jci. j 3Z.
L max db (1 second)
//,/ ^5
L max db (Time) L max db (1/16 second)
Dose % (8 Hr. Projected)
/33
f/^f,3
3% 0
> 115 db (Time)
;0 o
SAMPLED BY:
DATE
DOWit it it it it
CONFIDENTIAL***** CDOOMF018D8E1N4T7T. At
V ) PLASTICS DEPARTMENT
INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT AUDIO DOSIMETER SAMPLE
PERSON
/R/lW
JOB CLASSIC.X 0^" PERSONNEL
EMPLOYEE NUMBER JZZ3JE6
DATE n/iifr-c
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS?
b2f
fv
TYPE OF DOSIMETER (Ju^t 00
SERIAL ______________ NUMBER
YES
Qll3!>0
NO
CALIBRATION PERFORMED
Gj''' BEFORE _ L4 AFTER
TIME STARTED 71L
TIME STOPPED
Oi SAMPLE
S'Cfpmx TIME (MINUTES) S/
Dose % (80 db threshold)
51 ti
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold L max db (1 second) L max db (Time) L max db (1/16 second)
13-3 %? )M
1
(7,0.y
Dose % (8 Hr. Projected)
> 115 db (Time)
o'a0
SAMPLED BY:
DATE ?fn
***** DOW
CONFIDENTIAL*****
DO 08B14B CONFTDFNTTAl
c) PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
A
AUDIO DOSIMETER SAMPLE
PERSON "fit>y
JOB CLASS Slpf.________
PERSONNEL
EMPLOYEE. NUMBER ____
date 7 J l$lS'S'
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES:
s-
yy /
______________f3 /*y . 'To~T_____________ zrkh
______________________________________________________________________________
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? ""7es
NO
TYPE OF DOSIMETER
K-3l
NUMBER Off* 2? <g
CALIBRATION PERFORMED
BEFORE
TIME STARTED
TIME STOPPED
Dose % (80 db threshold)
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 ,db threshold
L max db (1 second)
n.C7^ AFTER
SAMPLE TIME (MINUTES)
nr
fff. A
S*.J
ru
Itr-i
SAMPLED BY:
L max db (Time) L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
f/?)f/>< -L -- _.
m.f n*
i:*r
DATE
9/jr/jis-
* **D 0W
CONFIDE N T I A L * *
00 088149 CONFIDENTIAI
PLASTICS DEPARTMENT
w
INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
AUDIO DOSIMETER SAMPLE
PERSON b&LoJjfyw TaaJU^U^ NUMBER
JOB CLASS Uip? k(Jj
0^I PERSONNEL
date 'llI'll*S'
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES: p . .
p
----------------------------------------- _______________ UtumL
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS?
uy YES
TYPE OF DOSIMETER
M
SERIAL NUMBER
NO
CALIBRATION PERFORMED
9^ TIME STARTED Q
_^ 0"^ BEFORE
TIME STOPPED
^_ ^0 9. S
Ud AFTER
SAMPLE
~q
TIME (MINUTES) 5 (3
Dose % (80 db threshold)
3^-7
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 ,db threshold L max db (1 second) L max db (Time) L max db (1/16 second) Dose % (8 Hr. Projected)
113-3
H:o! HU
^7, a
> 115 db (Time)
SAMPLED BY: mtL
/>:**
DATE 9 An frs-
* * * D 0 W CONFID E N T I A L * *
DO OB8150 CONFTDFNTTAL
^
PLASTICS DEPARTMENT
0
INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Dlvlsi n
PLANT AUDIO DOSIMETER SAMPLE
PERSON 0GWJL
JOB CLASS SoT__________
O^PERSONNEL
NUMBE
DATE l//S~Zfe
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES:
,
___________________________________________ __________
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? GK^YyEeSs
NO
TYPE OF DOSIMETER
fhk-x
SERIAL
/yy ^
NUMBER D /73^P
CALIBRATION PERFORMED
BEFORE
TIME STARTED
TIME STOPPED
Dose % (80 db threshold)
AFTER SAMPLE TIME (MINUTES)
// /
-p
L avg db (80 db threshold Dose % (90 db threshold)
57/
L avg db (90 db threshold
L max db (1 second)
L max db (Time)
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
ILL
.I
SAMPLED BY: SU)&
DATE
*****DOW
CONFIDENTIAL*****
DO 088151 CONFIDENTIAL
f
PLASTICS DEPARTMENT
)
INDUSTRIAL HYGIENE SAMPLE RECORu
Louisiana Division
PLANT
ft
AUDIO DOSIMETER SAMPLE
PERSON
JOB CLASS _g~d T
PERSONNEL
ZZ^ri
date /a-
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES: / ,
I/aaS/p C~rr fsy A _g CoourJk
0 /r/r (/
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS?
\2T yes r\ SERIAL TYPE OF DOSIMETER hij' NUMBER S>!~f 3 2 ?
r-,
LJ no
CALIBRATION PERFORMED
TIME STARTED C
BEFORE TIME STOPPED
Dose % (80 db threshold)
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold
AFTER
SAMPLE
__ a -
TIME (MINUTES) ^ "
Al' *1
S'1/. 3
A1?- A
L max db (1 second) L max db (Time) L max db (1/16 second)
Dose % (8 Hr. Projected)
3 ) 3 Q`-
H3- %
> 115 db (Time)
*
SAMPLED BY: Hl/fyyDATE
* * * * *0 0M
CONFIDENTIAL*****
DO 088152 CONFIDENTIAL
PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
ft
PERSON IfflMi
AUDIO DOSIMETER SAMPLE
JOB CLASS
\n iPERSONNEL
EMPLOYEE
_ ./
NUMBER l93j6 f
DATE %/{/?
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? _
YES
_ NO
fD h.TYPE OF DOSIMETER
: -, 'f (P, K
CALIBRATION PERFORMED
0^ BEFORE
SERIAL
_
NUMBER ^W?<5,-P
Ikr AFTER
TIME STARTED_
TIME STOPPED JT
SAMPLE TIME (MINUTES)
Dose % (80 db threshold)
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 ,db threshold
--
r?
L max db (1 second) L max db (Time)
OFir
2:<>}
L max db (1/16 second)
0F4
Dose % (8 Hr. Projected)
<*T.
> 115 db (Time)
QM. r///rfSAMPLED BY:
DATE
* *** *0 0 H
CONFIDENTIAL*****
DO 088153 CONFIDENT! A!.
c- oPLASTICS DEPARTMENT
INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
person /yja,J
SKjjiTfe
AUDIO DOSIMETER SAMPLE
JOB CLASS 5T--t PERSONNEL
BDAATTEE,
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES:
7~aM^^ S'___
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS?
LI
TYPE OF DOSIMETER
SERIAL
f'A if ^ _____ NUMBER
__
YES LI NO
0/7 5^0
CALIBRATION PERFORMED TIME STARTED
BEFORE TIME STOPPED
ff*
d^"
AFTER
SAMPLE
yy//
TIME (MINUTES)
t
Dose % (80 db threshold)
It
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold
Ha V/ tti
L max db (1 second)
t>F&
L max db (Time) L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
Ofty m*
F'S~o
SAMPLED BY: filD#
DATE
***D 0W
CONFIDE N T I A L * *
DO 088154 GONFTDFNTT Al.
I*
PLASTICS DEPARTMENT
D
INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana
Division
PLANT AUDIO DOSIMETER SAMPLE
person
JOB CLASS ?TdT,
0^PERSONNEL
/
employee
number 4a
7
DATE jr/jpfej'
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES:
,. *
,\
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? _
U
YES
TYPE OF DOSIMETER
ft] NUMBER
_
U NO
*7
CALIBRATION PERFORMED
1TIME STARTED
4S>
0^~BEFORE
\2^ AFTER
TIME STOPPED
ni_t/O SAMPLE TIME (MINUTES)
Dose % (80 db threshold)
L avg db (80 db threshold
H-T
no
Dose % (90 db threshold)
(U
L avg db (90 db threshold L max db (1 second)
/'?/...
Hl-Y
L max db (Time) L max db (1/16 second)
Dose % (8 Hr. Projected)
S?S7
fit.3 n.o
> 115 db (Time)
~:f7
SAMPLED BY:
fY\0/<
DATE
* * * D 0 W CONFID E N T I A L * *
DO 088155 CONFIDENTIAL
PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
fit
AUDIO DOSIMETER SAMPLE
PERSON
JOB CLASS ~ -fO^T
szf PERSONNEL
EMPLOYEE NUMBER
_ ,,,
date
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? D^S
NO
TYPE OF DOSIMETER bu^rmk--,
SERIAL
-
NUMBER fO !*fJAl
CALIBRATION PERFORMED
TIME STARTED tqrA7n-
0^ BEFORE
TIME STOPPED 3 fA\
0^ AFTER
iS/vA1MKPLLEt
^ <7/
TIME (MINUTES)
Dose % (80 db threshold)
L avg db (80 db threshold Pv.Z'
Dose % (90 db threshold)
L avg db (90 ,db threshold L max db (1 second)
20-4 ?o.l
/So.-T
L max db (Time)
J.'SO
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
/.7-T
SAMPLED BY: _
i4i/*r DATE
*****D0H
CONFIDENTIAL*****
DO 088156
confidential
PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT AUDIO DOSIMETER SAMPLE
PERSON JOB CLASS
CA&rd&fy
$ (TP___________
CB^*PERSONNEL
EMPLOYEE, NUMBER
A5
DATE r)j^ Lf/sS'
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? _____ Lj YES
TYPE OF DOSIMETER
SERIAL
______ NUMBER Q
NO
T0
CALIBRATION PERFORMED
a r` TIME STARTED M-'XAi *-
vs BEFORE TIME STOPPED Zx'Pr-'
AFTER
If?SAMPLE
TIME (MINUTES)
Dose % (80 db threshold)
/>/
L avg db (80 db threshold
Dose % (90 db threshold)
I.?
L avg db (90 ,db threshold
w?
L max db (1 second)
L max db (Time)
iul
L max db (1/16 second) Dose % (8 Hr. Projected) > 115 db (Time)
h.i i .77
SAMPLED BY:
mo/?
DATE
* * * D 0 W CONFIDE N T I A L * *
DO 088157 CONFIDENTIAL
PLASTICS DEPARTMENT
--'
INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
/) PERSON la^
i/I
EMPLOYEE
number
^S-r3
AUDIO DOSIMETER SAMPLE
JOB CLASS PERSONNEL
DDAATTEE
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
'Ufve
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? EK^YES
NO
TYPE OF DOSIMETER b'tyhnf/nK-#!
NUMBER 6/^/3
CALIBRATION PERFORMED
0^ IBEFORE
time started
TIME STOPPED
Dose % (80 db threshold)
AFTER
SAMPLE
j* *
TIME (MINUTES) "7o O
6s: 3
-
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold L max db (1 second) L max db (Time) L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
4J~0
%s-J
III# 4/jrl
IIA.S' nr.o o:oo
SAMPLED BY:
*****DOH
CONFIDENTIAL*****
DO
088158 cdfnttai.
CONF
PLASTICS DEPARTMENT
D
INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT UjL
S' PERSON
/I A
I employee NUMBER
AUDIO DOSIMETER SAMPLE
JOB CLASS
0^:PERSONNEL
DATE
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? Q^Tes
TYPE OF DOSIMETER Ql^rSt fY\ k
SERIAL NUMBER
_
NO
0
CALIBRATION PERFORMED
0%f
TIME STARTED / fire-
BEFORE
AFTER
SAMPLE
u^
TIME STOPPED oi 'T^ TIME (MINUTES) T(S
Dose % (80 db threshold) L avg db (80 db threshold
?r.<f
Dose % (90 db threshold)
31 1
L avg db (90 db threshold L max db (1 second) L max db (Time)
If*r j;so
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
IQ.r S2-P o:o o
SAMPLED BY: m/t_________________________
DATE
*****DOW
CONFIDENTIAL*****
00 088159 CONFIDENTIAL
^ PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
L uislana Division
PLANT Mm fr
^ AUDIO DOSIMETER SAMPLE
PERSON S~rO^ & i&Am
JOB CLASS
Sort
TM
1kf PERSONNEL
U
EMPLOYEE-,. NUMBER
S
DATE ---------
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES: ^
_____________________ _
1JotJ --- did n*d Ues)*' dPv<2~~A
edict \,
- (} ('Jjf/V
d/ faMh uhs
4- 4/Cc s'JoJ't
f
t
3____________________________________________
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? _ Of
TYPE OF DOSIMETER
/hK
SERIAL ______ NUMBER
YES
OfV 3 3 ^
NO
CALIBRATION PERFORMED
C3^* BEFORE
TIME STARTED_ PAP TIME STOPPED ____
Dose % (80 db threshold)
SAMPLE
AFTER
, ,4
TIME (MINUTES) 7<S /
L avg db (80 db threshold
Dose % (90 db threshold)
/n
L avg db (90 db threshold L max db (1 second) L max db (Time)
fAa. L
/; o7
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
1X3 ST
-jlfi'.dy
/:0 7
SAMPLED BY: KViA-
DAftTE
** *D 0N
CONFIDE N T I A L * *
00 0BST60 CONFTDENTTAL
PLASTICS DEPARTMENT INDUSTRIAL HYGIENE SAMPLE RECORD
Louisiana Division
PLANT
#
AUDIO DOSIMETER SAMPLE
___ A
PERSON "J<3
JOB CLASS Gr*y,,A4<rt S*~
0^ PERSONNEL
EMPLOYEE. .
_
NUMBER 7 J Sj?V
DATE
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY UNUSUAL ACTIVITIES:
OJJ^
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS?
TYPE OF DOSIMETER Do^rrJr (T\K
SERIAL NUMBER
YES
NO
CALIBRATION PERFORMED TIME STARTED /
0^ BEFORE ,,
_rf TIME STOPPED 33^
AFTER
SAMPLE TIME (MINUTES)
Dose % (80 db threshold)
/u
L avg db (80 db threshold
Dose % (90 db threshold) L avg db (90 ,db threshold L max db (1 second) L max db (Time)
21. r
?/.; / '/ s'
/1
^.'3 7
L max db (1/16 second)
Dose % (8 Hr. Projected)
JtS'.O i?.i
> 115 db (Time)
SAMPLED BY:
tmL
DATE
*r
*****DOW
CONFIDENTIAL*****
DO 088161 CONFTDFNTTAl.
c ............. > PLASTICS DEPARTMENT industrial hygiene sample record
Louisiana Division
PLANT AUDIO DOSIMETER SAMPLE
PERSON
Mj>___
JOB CLASS CoYhyOAt
0^, PERSONNEL
SfT
EMPLOYEE,
NUMBER 33*13 /
date
EXCURSION
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES ;* ^
/y
___ft
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? _
TYPE OF DOSIMETER \) Jy .-rf ft
SERIAL NUMBER
YES
CALIBRATION PERFORMED TIME STARTED
IZI BEFORE
TIME STOPPED 3
0^ AFTER SAMPLE TIME (MINUTES) f23~
Dose % (80 db threshold)
n%!
L avg db (80 db threshold
Dose % (90 db threshold)
L avg db (90 db threshold L max db (1 second)
&r Ft 2
/ay-?
L max db (Time)
L max db (1/16 second)
Dose % (8 Hr. Projected)
> 115 db (Time)
!*?<> nx? r:*fj
SAMPLED BY:
mom_______________________________date
*****DOW
CONFIDENTIAL*****
00 0881.6? GONFTDFNTTAI..
PLANT
PERSON
"; eNmUMplBoEyRee, 3/fJ& $$
* ^`^'job class
.CLAUDIO OOSIMETER SAMPLE
~---\ .__. ...
= *?, Js*;.'*-*--V *&<*..** * ( T\ !tv- '^vro^sr.^'' *
personnel:#;^?:Q&^xcursion
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DESCRIPTION OF TASK PERFORMED DURING MONITORING PER 100 INCLUDING ANY^~;^
UNUSUAL ACTIVITIES: -----------------
_.
^
-
C^rry^Au^n t?. ^AAldu^. Kfiur&f'M... '
-:,-y~,~-----^".--^-- -B^*s?5Sfeaps9>^
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS?'
TYPE OF DOSIMETER
'! SERIAL NUMBER
.0yes . 7
.no
,,
CALIBRATION PERFORMED . . (M BEFORE
TIME STARTED /
TIME STOPPED 2.
S^L: AFTER TIME^MINUTES)
Dose % (80 db threshold) ~fnT~
L ayg db (80 db threshold '
Dose t (90 db threshold) ;.-^
L avg db (90 tdb threshold
L max
db
(1
'second) 4, i
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L max db (1/16 second) r^ v
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INDUSTRIAL, HYGIENE SAMPLE; RECORD,
--
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NUMBER
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DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING Amt
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UNUSUAL ACTIVITIES:
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WAS HEARING PROTECTION WORN IN HIGH NOISEAREAS?
. .. :;, : - ;y*.j
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TYPE OF DOSIMETER : f )u^TM
^ ^y NUMBER
CALIBRATION PERFORMED...--
|B
TIME
V_
..- :'vc*- lf efore;^>T^^ 4Ei^^^AFTEff
5(1if.. SAMPLE ;-. ^-
STARTED I fin
TIME STOPPED * /^/K TIME (MINUTES)
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' :V
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-*-
Dose % (80 db threshold)
L avg Ob (60 db threshold *< . iC," ,f Dose S (90 db threshol d) 5|-^
L avg db (90 db threshold L. ^mii^a1'x dXb (1..i.-.w..s..^..ef..'...c..1o..n...d..).............
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SAMPLE# ST:
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industrial hygiene sample record
rtoul si ana':?f^|^'^'5
Division^^y-^-
PLANT
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-
JOB CLASS
SoT
AUDIO DOSIMETER SAMPLE
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--'- CF PERSONNEL
EMPLOYE; NUMBER
" EXCURSION ^
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ^y-yr'^r
' -;
WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS'?
TYPE OF DOSIMETER Qls^vrt /hK'2__________
SERIAL NUMBER
yes'; O . -- ///% a
PH**0
.
rswve&fa
CALIBRATION PERFORMED
BEFORE
o AFTER
TIME STARTED r<
TIME STOPPED a$L
SAMPLE
/*>/'
TIME (MINUTES) V JL
Dose % (80 db threshold)
A
' i, i ,i
-
,.t.u
L avg db (60 db threshold
r>* cr>.:-
Dose % (90 db threshold)
L avg db (90 jdh threshold
L max db (1 second) ,' - Ml
L max db (Time) >''- ; v
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hy:,g- ien: e
sample
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recv or,;:d^j*
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EMPLOYE y....>..-=...N..U...M.B. ER
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t,' ' ' Jvib'KT' -i /1* ' ' > 1
00B CLASS aX-
AUDIO DOSIMETER SAMPLE
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\J2T PERSONNEL
EXCURSION
V .,.T..r
7-?&> r
: -
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DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING ANY
UNUSUAL ACTIVITIES:
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WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS? _ / ;
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TYPE OF DOSIMETER Dll^^T__________ NUMBER
CALIBRATION PERFORMED
r-
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\2T AFTER
SAMPLE
Q
TIME STARTED TIME STOPPEDTIME (MINUTES)
fu `
Dose % (80 db threshold)
/J 2.7
L avg db (80 db threshold Dose * (90 db threshold)
.
/IF./ '
f-v -
t.-.-
L avg db (90 <db threshold
73.0 -*
L max db (1 second) L max db (Time)
rnr y*ef
'v;J
: .
L max db (1/16 second) '
{8Dose X Hr.-Project
ffir :
> 115 db (Time)
MOiLSAMPLED BY:
o:<t* DATE '
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CONFIDENTIAL***** , ..
F C "\V K;
rnIL0881 66
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PLANT
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**: PLASTICS DEPARTMENT
` INDUSTRIAL HYGIENE .SAMPLE I^CORp
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'ST. ' '- ^
T^ir-uat^.'^ -PERSON
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NUMBER
szTAUDIO DOSIMETER SAMPLE yfe-
...................**Ur,-r. -T !'-?*?- f71 - OPEFRRtSOOMNMNFEIL
tJ3835B5:;r U ^-i'ENfilRStaff^e ^ \,.4V .'.'Sr
DESCRIPTION OF TASK PERFORMED DURING MONITORING PERIOD INCLUDING MfZF&q--
UNUSUAL ACTIVITIES:
.
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WAS HEARING PROTECTION WORN IN HIGH NOISE AREAS?
TYPE OF DOSIMETER CALIBRATION PERFORMED
^^ p,-: .rJ-1'
^Si "
^iU ;,J|D
TIME STARTED
Dose % (80 db threshold) ^ j2.
* 1\
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tL *
^
L avgdb (80 db threshold *
Dose % (90 db threshold)
L avg db (90 ^db threshold
L max db (I second) .-> VcS-.v'
L max db (Time)-
L max db (1/16 'second);
'
: .
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Dose * (8 Ih'. '-Projectfed)^#^
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> 115 db (Time) , ,, / 0To*
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wfi,.
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SAMPLED
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0881 67
" CONFTDF.NTTAL