Document ka6yjbOnJNDOyYBxqxvx9XzNn

ivSTiSwi v*=, *2, V&agt CftSWM? r tt-^W 43. LsCific V* t A* O^C. Q No U>ofc-iC^'XA-t.o*s Past-SampMng Calibration Records 44 location/! & A4 R a CaJ s ,,Fto*R"^fe.i Sample Weight Calculations $4. Na 54 (Rf"n9s>t WmQnt (mg)54 initial Wetgnt 57. Wtignt (mg)Gained ' 4 3lrtk Adjustment cr^;. P.q*44. Ait* CucJanons \oo c c. _ .915 *"* -^2 0-8* ~ S70e* ^OO, CC_ -- Q <4cZ IW.LO 44 Row *at 44 Motrod 370.^ -%S..'J (fc3u00i O Rfl 47. inoaia 44. OatwTmt SO. Rom tea Calculation* dcC . `Ivo ** ^ Zi-eei Voct ^2% IM*> 52. Imcais - 32.4.1 = S3. OataTTimo _ cc/fc*-cb c cf r^X. U-'OO . Nat Samoio v^aignt t'mg/ soorstory Results '?T!r,,f OU/**. 6~&'l a di,Lt oy'l* s./JA c ^ 3"/ 1b ~L- <3"o? <b- 5 .a // - y9aJI/ y y // fQ^CL- *.,) \ J-. / i<71 Ah j d. 52. Interferences ana ih Comments ;o Lao Vvo^u CHCOfMftfe - y>C6 Acr<^ Ujj1 v*c> 63. Chain of Custody a. Saals tntaa r n 54. SupoorRrg 5ar^s<es .u h rrt>\ ctilviv fv^ -^ vt"- \ 15. Analyst's Command v rS-O Pf>*v. d, Received in Lao c. Received Oy Analyst d. Analysis Complata a Calculation Cheeked 1. Supervisor Ok. r v1 > >5 '"/w/sb --if.-- S&. Calculations are ~a*<3 Motes . ZTZ" " I M"1 I __6-feiUiO^ /dc, t So p-^y______________________________________________ _____ \s. *-A '= o-PVo; UCL* CTo "Rot a*& *3*-o.H^uct.-- *+*** 6U,W &\- *~Uy ^ a.l^ lCL*y-vr- -Q'n vjc^-o.^-fc 6.^- 0-21______ Z9-iL\#g> tr&z? * ^ 3" ^ - sc .oSfe- U.CL- Y-a^ * C.o'Sc -.4Ss-0.*lZ, <oCL"-*$4.lNGC 14598 Vm***;.*,. . bitsn.-nen: Nar :*i. sftT5">*t \mf "iH^Tiofe rl.. ft*-a$) ' 87'7>* on r-elOrrrvnj S*"X"*5 (Sif-ewe) iDyee (Name. Access, Te*t5tone Number) ---t 11 * *" 5 7 me ! {Type end enectrveness) l. CShC O 17. Oceusccn Gooe 7. Samsung Dai e <?-i4-SC S. Sheb'ng Date. t-l7-&4 13. Exposure a. Nunp*r t Duration // inlormatton O/Z- c. Fiecuency * yy 14. wer.aer Conc"ons toio& O- *^" IS. Photo Y (J* IS. Pump Cnec & Adjustments Desertion. Operation. werv Loeaiion(i). ^entfcation and Controls & ^-/giftlS - S.otfAju>*4 (v>cuie/ii?W V *1 / Aits ~~ Cifcj of AiH-fffe/__<vf<"-ve ~7aji<S ^uy'ioji 2A/fil.fc> Ua^ C^Hciri*;^ OojtU Vv' co^ut. Naw___________ Cont'fi. ipte lype/Maoa //Tube No. tpre Submission No. ; On/Ofl fwt- ----- a. QMS.C(*l CttivfejfatL CHUftCtAt Q-NAICOfit So A So A At IS <So B A( A- Al /t Si & lS S?4- as. * ^.00 _** Vo*. 2*4 P x*f -p U'.OV( 0 CttoLCoAc <S2 B 8& ir.o.'f p /o:lt P i Tim mnuies) ' Raie /min 5^ cc/nwj me Hers) Sample wergm me) 5241 a-4** f* Summary 26. 1 Substance {Code as. 3D. 31. 32. Restp. Sms:. Exp. Exposure Type Type Level 10 -K. o 24 7>-24. [ <5.^6 33. 34. Units PEI ID.H-a 2.1 52C.- 1 c. es P tO'-MA* ^2fc. 1 6. , 11-*3* A 26 ^24. V. <4.48 PU-.To ~^(o 124.) g.'ii as. 36. AO,. Severity 37. Otaiion tnlormstion Ne Di F7A 0ei t"j. PPC Te Mae. Outer Sxs. C.A<fcfi> u iCaSgo u AC A& o.vfe o.iO F ? KLisg** L- er r.oai.^ p l.o 1.0 !> 0.(%: o^o CUC| C < n, Fl^e iw t- 3C:ii'.y (Emy Lrt Numoe'i *tr those apenis contributing to addnwe eftect.) ila* Number J iso. One Results Received Lines (27) *J | Prerr. Laboratory , A_ ?7/^6 0$*A-91(S) {Rev i/W) NGC 14599 009M DON a C *>*50 . rw'-U ^ /V 4iOJ| c/y . V(W ^gr rf' *aJ $%' zZx. * +n>n,*s, y/*+'MJ 'f-HG 1 '9-L*` /t* .TTwsnrrsj------------------w o-r--------------- 1----^C*- :93^y 9S-<? A _______________ . ^ _I_ sl-.A*y>7 ' *WT5" -- -.- JL , ---s^-----------------------------' SS20N D*~ Out SuOOtinOftJ -g< >0 jostAjMng f J6LI10 T ^=> *tyhJ4 p>|00 uoovinofio t A*> s rrs w wttiuieo stcAiiwp JSAjmv Ac DOMtOBy 7 * r 7 S^> P*-| ui D*A3*g p 2 k y ^ S>,U*(S ** ssc^jfc fijujoccng ** | NA p3ui spe*s t Apejtno jo uityO T9 / -7/^1 ~^7nr -7/7/^ jJ jJ W*1 fO*7 o-S V.^33 S*Q 'Jjfc*ar\ a^jBuuuieo s.*Afuv * ^<4 *>* ^4, A ^ 0 \i41 "J^-a ac~) o: siusunuoo hi Out wouftja^tiu; *sj 9/-S1 US> "~t IIS ~ rzr -S7JF <y >< *|PuS QF* riM XjpJocy t&a>) it&mt/, touts N t jutuosnjpr *utt v jttu/J pu>*jp Juft**VL tlS /&*/; iu6*m ftav't tj w6m Ituu- *sj J 2 3:*' 'Wj./tJ*0 IS tnoiui if /9 ueiitinsivQ ON JtJRs? Ti fflufvg ii *b -i* OL l^^- " ij a*^. SQ O1" 9 s 9 p^. uootna|tO **oy US Z V^r-w wa*G *9r sitiimt be 0 atoon^'jgj Dowwn ft ' * *oa *sr 3 'i,U - aL'OTS " jjott o9B~ ^ JW/-W 1^* 9-hi * 1 b' - -30 suoutr-oitO *`Be "`Oif Tt *^Ty5?l5C^ e 4 ttv T i>uoaoen *9t pjo*U UM)B*qi|t3 buiiciuivs^seri # nr ? jzuemoei *tt ON MW-gj 4 tpwsswO &eKn **t * -' ' ^^^TWfL --yiy ^r.................................,............................. ................ _^:saa ;i. mtscnm; >w ;2. msateuon Nimoei oiisrirnsn*. Keme (Sd*^ltxci4 in Peflerm't%; StTcng (Sf"t;ure) oyee (Name. Aos'ess. Tetepnone Nymoer) 079759 t. CS*C O Ko^T 7. Semp-'inp Date 6. SnP>np Data "i-ife-Se. Q-o-86 13. Exposure It. Numpar t duration mto-mation j q/y c. Frecuency _^ Title : (Type and etieeuveness) 11. Occusr.cn Cooe it. Wanner Corc^cns IS. Photo Y o-ut" 0<& 16. Pyrrc Omens 6 Adjustment ncDescroiion. Operation. Work Locations). Ventilation Controls Q 4 / Oo S Q 12.^ j cjf SA^66t<ugrf scifi *f jUaqH____ AAfr.K e,g^r~Ao^ qY1 c.cfvhe*t. fcocK______--:-------------- Conre. r/Tube No. i>e Submission No. Ort/OW htKr<. no a ~XC ft ft no is &An1 0oatc 1 CMmicouc "iv * ~U "lo B. ^'.So fc ni k to: 24 ft -u Vo; 24 ft CM*Co/KL -V2 ft It A U.6-4 pi *12 ft ir-a( a i Time ninuies) Rate /min i& cc/min me iters) Sample Weight mg) Vft* Kc ft 2t (O'. (& ft 2> e.<\t p lO'HSO Z V 2- 1 SSY-fi 3*f-8' -t.t'V n.z4 U`. S* ft 2.(0 5*^-8 fc.tc U:**a 2-4 W-8 R.lt '* Summary 26. Cooe 2RSc.ste. 35m0.o.. ~yp 31. |*p. Type 32. Exposure Level 33. 34. 35. 36. Adj. Severity 37. Citation wormatcn Cune. ru bOvte.r 6n- m 7"C- wee. Otne* C2S8& CZSSo A C 2C/ A C . *s 9 |,o 9 (- o 2=1 .<5$ K iC-ZSgo Ac ?' t. e> l^lllo At- F </ie:trvas (Enter bne mumae** tnose agents comrsrutmg to aoonwe eftect.j 2*f NGC 14601 A. nLst!neNsu(m2?o}tr y) j*40. DFraotme RUessourlatstoRryeceived _/ / Case File Pape . ^ t/r.A nj;a. a^(S\ rR*v k 41. Pump Wf;. i 5U >JT ^2. voltage Cnacxad? o l<*. p ,-'feS NO > a** 'CaoomT & Alt. --_ . _____ Post-SampUng Calibration Record* 49. Loeanon/7 a Ait. /C P 9 Cx_P Cj\ 1 ct-w-- S t Si. Row Pat* <5*0 / c-/ *i^, Sample Weight Calculations 54. filter No. 14. r'c- Pa:s Calculations 1.6 Wlw Vui -5*ec\ =ScCc/,, 45. Pio* 3*:* 48. Metnoa ec/|Ma*a S-3uoot Dw J 47.. n.[ia>s : 45. OetiTim* f 0*/ ta-9.-fife SO. riow ?s: Calculations O / C //?Wv~ ^5"0 O CC-/n^! 52. tmtsais C,S S3.QatiTme . ___ !/n/9L /. 3 15. Final Weight (mg) 58. Inioal Weight (mg) 57. Weight Gained (mg) 58. Blank Adjustment 59. N*t Samoi* Wight (mg) /trir -s5~.P_______ 13/ <SV / --873-------------- ______ 42<S~ <roY 5*o tf" 51. Substance i()4Wc CjbiLoo^_ a f tl^L* ST*.* I. ... /F* A , ?k7A4k 4-* f mi -*/V 8f/F * -?<9 . . v * AJ4ri .*/<? a. . tr c | d. 82. Interferences anc iH Comments to Lao U\o*fc t>ec i*o AH#u,lc.okfl. pp*~ &* pp1*^ 63. Cham of Custody a. Seals Intact Y N 34. Support^ Samples T * v,o>va. C\Wu* C-O ^P*s. b. Received in Lab ?/< o*5^k 85. Analyst's Commena U*V * & Received by Analyst d. Analysis Complete a Calculation Checked 71< r,?s 9rv s 1 f. Supervisor Ok. 66. Calculations and .-id Notas ..., VCX tftC-tVIAL. * axS -- VXU 'TuJ*r = .\S . . = &.*ll<; 6-H2. Hu-, HVl - *+(* pfw-k- Twfc . HV PCi- 5 -gfa- E-tu V- > IV > .mv ->*" *.W t oCL ~ = 5^ \ -2. *c *u^8 SS.i** z. a,li^ ~ & ^z ^^ . -" ,,fl - c>^?+*T y*.t5.. rr->- 0 LXi * V - ,'S: g>. iz. - i - S> = ~ s> -at \ hCL AT - J.V2.H. . iS NGC <?. 2.1 14602 jsci.r-s S.c-i,' e-.c -'e,^'Ai-->,'vs;TE:j:' ^ J $rS7 -??3 >eie 1. Reps'.'nf \u 2. inspecwn Nimoe' i: SJsdTi-C--r-n-?-------- 67e991 IM~l<ttSoL CciS-fc&) I l*TM isimen; Kerne fooot>Eta-t- \ Peio?TTv^ Sampling (Salute) -tee fNem*. Acc-esfcHTeieanone Number) ---------- -------- 6. Chc id 7. Sememe Due . Sncpng Due 4+00 *"1 _ q-o- s<s 13. Exposure . Num&e? t ^ration y. \ inio-~iion Q J m --------------------------------------- \-------- Vw'A rar.^ / . WeeperConenons M. ^noto ini* > Yv Occuotofi Cooe UOVOfc AJ* y u* ^aSS3raL a^ 0m IS. Pump Checks & Adjustments -.................-- uirnATTm c ^Hw-ygll rcSpitS ^fW. St V iSvyota ^ari>Vo^t~ U-C. Hoyuh-V * NO ^St ^ejjTT Sampling PuT Conte. Je Type/Med* /Tube No. lie Submission No. On/Oti emufcCAKc- CM-AfecbAc SoA So& S| A sifc 52* S2* S3A So* so& SIA t, SZA SZR S5A S3 a `tufcp <lH6t uvt# <fco|* 9osd IKV^ ie:^p Time mules) Rate min E cc/min ne rers; w;*empie weipm i*=s SM vii t-.slp 9:0s* IS* Vi\ Se.l SC A r<M 1-tT t.SU t*S4 IfcSi V.3&* u-p 8% t\ So.l S6.1 S e. ^0 35. 36. Ad,. Severity O84 o.K'Z. 0- 12. 37. CitStion intormstion .c O! riA 0L-z*s 6ns ME tme- WN. Oih*f < ngc 14603 < < tEr.rsr Lne Numbers to? most spent* comripuiinp to adCMivt eflect.) (27)Numoer ^2 jo. Due Results Received rnes O Pro*" Usoraiory / L rICese Pile Ptse " id raj C$-^.ot(S) (Re*. t/W) *. i<c on-us* 42. VbKage Cnse<*d? >t<~ p SfYes Q no `a 43. Uacabon/7 i Att. 60(T) Aoat-Semplinq Calibration Records 4ft. location!" 5 ah. L. P La) cn o s X rjw -a!S uAiC`.:ancns e 4 *1&S \o*i <a.6cC VtSO&A IW 45. Plow Rats (*)>. ss 45. Metrod A 3uooie * 2^6=^ t<Kl V. lO ^TtolCfc C RR - s*-! t*A. = f 47. ir<ra>s 45. OaieiTJme 9mJ fC SO. r:ow flats Calcinations *mxy * rio*a_ / 0 t S* .SO ar-jcm ^.// 2 8-y/CT ** /% /09 s* Si. How..P..a..t..e...k=.-.> Sample Weight Calculations 34. Rter No. -i ____________________ S2. initials ^ >5 SO. DaaCme *i/n/ti q:;y :& Final Weight 5ft Initial W*gnt P*0 :7. Waignt Gained/mgl 5ft dlanlc Adjustment 5ft Net Samos Weight /mg; si. Substance a. *7 / / Results a U*CA/oriit*. 4 / t.. = r/4-uL* d%\l. / ka ft. Tf d. 52. Interferences ana >H Comments to Lab NyfTsp AcV;imJlei?si O 5*P(P (Ve.T^2t> Ceil '*-* \. Sft Analyst's Comments --g-- I*T>e> >5jT <*ror A* fr* / ns* ff ** fr/ ISS 4.9 tor If A / 0 A*l . z' fty/ Aei // a. 5X Chain of Custody 54. Suaoocrg 5amses ^ a. Seals intact YN b, Received >n tab c. Received by Analyst d. Analysis Complete a Calculation Cheeked f7 ; r> r l. Supervisor Ok. __ 5_____ y "l^ * {t. TwiC , __ ^ ~ Y ,, e>* v<** r_ ` iCi^- - y* > ~ -O^ot. ' UCL * /* *vT *_ lit vi\ ^2 .3*J .i^Xfck... KrVT.fe-.J,... S*v~r ^s.<!....... OftftC ^<- *??< 0 rJ NGC 14604 *;*}* :S"`"'er.i NErr> :1. Repsiing i-> ! H^SUO J _____________ ;2. ifDeciion Numoet 1 r A- sei5W7! SeTd?n/is^~j.u*e) JC&p/tsisLfKsJ jyefcU^eme. *ctress. )p*ione Number) t- CShC Q hocs`2 REDACTPD ------ T.ne , *rUtuii+ ' ---- ^Uo-h (Type and efteciNeness) VS>0 l>*T*e>r 11. Occ-^r.ci Cooe . c 4sk* 2^ -ss-Ljfte !i. i Samp^f Ku*W 876959 7. Sending De.ie ^/U/91 9/0/6. 5nso>ng Date *4, 13. Eoesyie It- Number t iLiranon lnsorm8i.ori | Q ImmALa' t Frecuency O^ju^to \^Ji 'S bi+t JOa\ 14. weemer Concerns 16. snoio A/fli+k 4* *), U)i~dj V AJ 16. Pump Cneefcs & Adjustment c V>T 1 mU-> OS Descrcnon. Cc*ri*on. Work tocenonjs). Veniiieiion and Connote '-j* "a" ' IcrAt*^ i # MrVtti . Ca^CA-v. ______ le tQ(rics______ ----------------------------------------------------------------- Corn'd. Q NO- % <c ote Type/Medie /Tube No, die Submission No. On/OH Ti Tunimviees) ' Rate `/min IB cc/min me liters) mSga)mple Weipm 0*1 - V V. Sa SSampling Date c**ecAc G.HACC>AC Cha^coac- C*GMt_ 4o*. *40 & HrtA 4(15 *2A <t23 <OA H3B <>* k6% *HS 4*A 4:** 4^d MtWp 4;2*p >op 4:k<P H|p enu\ 21126) 2Sc<<*a tW?8 2<Ao 216ft 97&64e H*.HP ies(*9 6'16| ll'-tljk u:ft? p 2*HV 2S*5 OesH *10%% v*4 S^Zto 1261)6 '^6*3 \Vt *u*t v**H AH*0 lU 9.161* 9l nns ftt Hfe ZMflOl HC. jt'-.SO *=.so AVJO **.So A--.SO JC*0 Jtl.SD est. rm l.Wl V.73 '/71 2*7 2-^1 ra Summary 26. Su&sianee Cooe 2S. 30. 31. 32. Rssid. Smtf. Exp. Exposure Type Type Level 33. 34. Units PEL 35. 36. Adj. Severity 37. Cnaliorv (niorrnaiion *e Cn. rr* D-> it. ll r*i Ifnf. u*e. Onto L?T c asfiD L P Pllfo L P * O.lls P o.5 e. 2^ ? 10 . . cr Vf 1 0:nes imt* l-* Nu*noe^ Jo* mose agemi coniriouimg io addiiwe e"ec'.-) LmeNsum(2b?e)r g 1*0. Due Jesuits Received t , From LtoofE'.on' J 7f *(? NGC 14605 _J to) LCase FMe Page /r-s OS->-Bi(S) (Rev i/M) .sr'ieG 42. voltage Cneoeo? j?Y feS ftiC NO S' y\S2to ft$ec I l t *rftei& fc. 'V?e\^ TTT STWKftf 45. LocariomT i Ait. = 5i4=,,. n*l= ft-*** -JU&a&&&>rci*____________ - --------------- LLfeu 4$. Flow Rat# 48. Method (K\ <p.H* 8L3udtf Post-Sampling CeHbrsdan Records <= - 6 e^ - fl-4 PR ST.-ncaiS *4. Oacriuffie 9^uJ wat i 49. L9Caaon/7 i Ait. p o 11 "iYT*i Jo 4-rs J-\ irvv s t 55 Flow Rita Caleuianons 1'`iS1*1) 1l *4a4. st>'Xyx**z Jits* <ft>.c/ /hi' 91. Row flare Sample Wright Calculations 5-a. Filter Na _ 52. initials SI Oata/T.TM CS______________________ `f//? /*L sn 02 55. Final Wright (mg) 1*. Initial Weight (mg) i7. Wright Gained (mg) UL Stank Adjustment 55 n Samoie . nnt (mg) UH it .., SuOsvci a.ETH VL-4/e A St t// >ii /. 0 c. i-rilir (e. -------*** A-* h- /--< 5. aa., ^ <*rn Results <S"|3 --^-------- 1-----IVa fcfj F*ikC k. w I ------------- ft4------ -f*y l-ft lJ AL 0. ^Lf M, 0a 7*rr~ fl rr Or S*2- k i t? d. * 82. Interferences ana <H Comments to Lao 85 Cham of Custody ElM^CfeoC" ox.'.fctr *>cc t.o PP*^ 40 0 *S *ppw 5 Seals intact y n $4. Suooorsrg Samoies , Z(\S 2.P; ( V.. \M* CMt-OOXHT ppr SP^-V- o-S ?K Ci.t^ a 3 riau. SiAniyssCanman. ^ S'ft-.-fL <1 -V 2_ / p/V. *. cn, i C^-t O-V njr tuj u>u-nA b. Received m Lab C o*S c. Racetved Oy Analyst d. Analysis Complete a Calculation Checked 7?^ r lWl6 --f/- f. Suoetvisof Ok. 88. Calculations arc ^d Notes __--.------------------------------------------ j fa ._."'-------------- ~rr H<Lh^Jl uUcdZl. .-*- aq/m^ *> 0O. O5oOpfiirv tv.,,, = /SV-* Sf. PJ>~>._ \Vf/" Ci y.'*- 7fy:; '**; 1-c-u^ >'Tjt>cc- _-"l:`S^ ^ ^-y0 = _ uz&'pT^ =. . 2><D "70 j^^7:oi~^TTer'iV " let"' -Wt De'lfi I 1. Reps'nj C 2. inspection Numoei HS2U6___________ SCKb Silken: Name y.V. P'enD'm-v* Sampling (Signature) ipvft ' mama. Acres**-. Teiepnone Number) Cc i 6. C5HC ID Hoc^-i redacted -- is. ___ L SgTC-lf hifrse' 879l8 7. Sample Date 6. Snipping Date &mc*113. NumberExposure a. | lnlonr.enon t Duration C Frequency JL Sh-w/db* 14. vveatne? Concr.ipns IS. Pnoto , 7nie * o^Vej%ft-T*A4 v**V711. Oceuprgrvfooe ty | tUtX O * vtoi c-oe*-3 WtUR ^ vj.c. &16. Rums Cnee*3 Adjustments c*4 CeAJlf'yyoeCty t Sea. tfs^ir<*4rfx_ Description. Operation. Worv. Location(s). Ventilation ane Controls ------------------------- ----- ---m-- iK Qc^WT&fl.____ ^uoT&a-r "fife______ lA<? Cont`0. npNo. pie Tyoe/Mao* "^<06^Sampling Dti CJM.SCW- C-HAfeOi\c ctmfe.co*c C^iq*a*t_ :r/7ube No. npte Submission No. s On/Oft ,! Time rmmjtes) v Rate i/min CB ec/min jfite titers) Sample Weight mg) &6 ^ Soft *13 32 ft =** 33 & V>* ica *1* 33* *33fi feu P tf:ll p *np fc*.p w ft* HI* to:3tp uife *!** HJSHfto 4'Him V'YIP fciTlP 8*. mi* l*3lP io**tl p U"-*oP Uitop Uoifco <t20lfc& HSSUto HM76 WkQt SSJUo MS^Wa Mii nin, VS6ST0 ISOfb 12210 l22l 43.0 K(a *HW \tb US * M? fMir AT"-f1 /V.ft jf*.X3 "l.u* t-MA fc.uT S.2S 2.11 a-ni rc Summary 26. : Substance |Cooe 29. 30. 31. 32. nostO. Smo:. Exp. Exposure Type Type Level 33. 34. Units PEL 36. 36. AO,. Severity 37. Citation tntormation fec rr* Over t"t C41 be. Ime- Ume Oift* pn'to LZ$W CiSSo L?r TL P rA. ? O. IS Q. fZ. ? ? > > 'P >5 1-0 c^ves (Enter Lr*e Numsert to* mote agents comrouimg to eOOrtiw. eftect.} Old Q <W 1 1 XT nn | i*tuu / ii y. )C X : Num&e* O !0. Di:< Resorts Received ^ /J7 --'\M> ^ J> | Frc^. Laboratory ${Z9C&r __________ [Case PHe Pap* / A^\ 7!&^*} j yOu L\ * ** "^s. CS*a-$1(S) (Rev- 1/8*) 809V1 OOH LV- TiV+tt-* 2 T3 Q .iooV^lrO '"is'fl = (.1 2. *<* -**+ VTJ^` 7_3:VMl Wiosj-or ^ rsrMS'.W'rZ.-* --*> -tV -1*11 * iS' * vrs *3=sA Z'ghz* - "-" (ten ivi *> ? V- - fte/ >j>7 *7?m *} >0 JOSwOns -j -j*my s ioty U0ppn*|pfta9ft?Q3 Jifs idiii00 *A)BUV -p *!*>. W*V s*4 J*A(*yy <r Aq pA3i^ -p ?: ra qn ur p8Awo*y q A. v,doocn9 -j^ NA OBU| SfBS T Aooisro >0 u*0 TS ?t*'Th,7 *Ur,/' S8JON pie- djv suooeiTOts^ *$ sjaunuoo s^sAfcuf T( % *o p"*! . 0X3 \,, _ ~>ai Nr'U^ hWO'l -73^ OF*j 02 S3U8UJUJOQ Hr 0fJ9 MPueieH^U! 'E5 C / /}<' ioT ,// ^ , /V -V // ---- r.? - *' ,// , ui. *fl* / ' 7 A/* .i; - JJ.--, "**0 7* S3rns-f Ur?7 ^Tin ___ -___ tf_______ C (* ' f& r^rcju ~ca/ 'X.'&l 0 ,, ^/xp ~T]f3 * outssong - **!"* AJO*Jooetfuf.i lU&lPfA ious n *: usu/isnlp* W*l6 "V (5w) peupg lyOjpM X? (6w) uj&m lewui *s (&uj) iLfSav! peuy -e on JSy *r uJii/Q TS - Mi- -a !ii- z> O' 13 1 %I ; O^O ** Q*fc QgO ~J StEQfu; IS <%940 ** lbLC9 0 3 suOoeroiPO : *Oti 'OS I V-*>-k - CO -*r sieuiui `^t '*i. ---^ *> be' soo^e ss DOUWM * W --5 0 tv V*) sip* w)d *sr * -|^ *> SCMX* *g\ TaJTio '5 0 i'\s Ltfetz '3 rssx* *53VO Tt 1 - SLU9t 1 W*.*o j*y -o> irr t ^./uooExn # *pjo#a uou*joi|*o 6udiuS`)*Qtf ' t*d.^.sSBCRm w y iworooei *pt on q ssa- >0 iPP^se-O ftnOft *tt 8S0\T y w'SlJK T-'e i.* c~.t -fie-" Rm-VSl.-E:? S?- '8S~Z- >1t jl. ness-.r.; ID !2. irtsoesnon Numoei !-. Se^-njL 67HA3; 1 1 tm Htfe ofe iF '* iS*-T>erv N`Tt T*. &> S^k.vCH -! Penorm-^Sanp-inylS?|9-.u*) P.nxuju Jf Xp rt^ A*jl 1 <vee {Name. Recess. letepnbnVNum&er) t. CS*C O +100^1 7. Sams :nf Da'.e 6. Snec-np Date <=?-in -fit 13. Exposure |e. Nymoer Curaiion mserr.tK>n|^^ */fa <ni //, REDACTED ^ H. if. wer.ner Conc'^fls 16. sneto 7iue ^*.<y U*JV**A- (Type and etieeiivervess) oi&i O^WlA-Toft 60*rSiW A^b. 11. O&cior.cn Cope Ml V-C- AC-AA^S wiofe lO-OGT tO__o_ 16. Pump Chec 6 Aoiustmenu Ou. g. fffcfUiCe.^ T-<Vtr<rt^t ^feo4ILfc^_________________________________ 3escrcmon, Opeisiion, worv. Location^). Ventilation ene Controls g ^VVtRAQ SJWfc.fa yeAut-iS Cooler_____voHb^t_________ "foj______V C> VUJ>WUiU^ Cont'C. > No. ^ 2.10 _____________________ Sampling PU >>e Type/Meoe /Tube No. >ie Submission No. On/Oft Time linviesj Rate 'min lS cc/min ne -lers; Sample Weipn; np; cwbcoal CHAfeofe. CH*feC*4r 20 K ZOS 21 A zi 0 ZZK 22.S ZSA 256 ZdK Zo* Zl A Zlfc *zi\ 226 2SA 22% IJIH? 6tHS? :**? HSP **.* l*:^ OHM 02MM ofew etsfiao Oft8o SlSaa 015)80 0*A3fc V.HZ f ;*s* iHfrf iwRIP ic: t-1 p U16fr \i`ZOp OlSUo esn St8* TV80 iVfca DSOttft o8ob JWl wn*u lb*a 155*0 l**58* l*Vfc mt> \zz \zz. lot sv s\ H*S1 H5*.v\ K-c.vi K**V\ K--* K-8.A K-o.^ ut{ S'.Z'Z* 5.t^ ?.fi3 ?.55 t Summary 26. Supsiance Cooe 2S. 30. 31. 32. ficslO. Smo:. Bxd. Exposure "ype TyDe Level v_r\C2^ pi L\ J? T *.si 33. U. Units PEI ? O.S ? ID P 10 36. i 36. RCj.jSeverily 1.02. 37. Otation tntormation *.c F7* o Ene ee? 7me. vmC. Din*< Cr, s. < o.s( < 0.?-z- XTri.r 1 A r\a v. 3ii Ine Ntrtoe'i to* insse apenis conirouimp to O0Hn* ettest.) rL:1 3-' f.Om&ei' Lines 127) j<0. Date Results Receded From Leoofttory III! j 11 ^i Case Fue fry L / r^L Cs-R-Sl{S) {Rev. i/St) . T>ov ot 41. Voltage Cneexed? p r 4A locaeorvT i ait. 4^. D NO m, r -a.s wok.--auvi loo CC . t-tl O |Hl 7 OM-. ofi - Z_o*^. | IfiO&C - 7o4-.ce zo<4. 1 cVm*c _^&fcJKS.TjSrT!A^ ................. ... flow Rats . 41 Metroc Z&. 1 CC/WU 3u0de D PR <7.jnidais 44. OaWfima CLS Posl>SinpHflf Calibration flteefls 49. locaoon/T & A)t 5a flew R:s Calculations JO C.C_ -74 -- HI .A 't/^, ^ p tOoRR^TfltXio'^ a t si. flow sate _ 2-l*S. Si ,,. Cc/w^ . KnOjw'^ (#ft 1-0 O P* W 52. Initials - I'* - 'fc` ^ *0 V*^( PA U* ^ 11. Oace/Time Sample Weight Calculations 54. Filter No. Si Anal weight f/nstf Si Initial Weight /Swfitf 57. Wight Gained (mg) Si Blank Adjustment 59. Nat Sample Wmgm ('mg* ________ !6 .. Subsanea i-ftr yfrZ Rasuls n ^tCtcCHtoaibe *f Ji. j2 A~ LfGfG c AUAtAUCcHoc d/B'S CHi^wtntTC* PTH^Lw 92. Interferences ano h Coi^gi^rt^ to Lao (\CVvj loAJ.'fRi-Ct 2-0 y\LLVt.CHCotvae 1 -O ppVs. ( Pel) ftU-'fC (W.COHC HO pp*~ t?*1-.) CHUCovueTHVL Si Analyst's Commons XCrv*.^- *> o~t~ -fk<.s> /T y^-e. . ss/se/g* Si Calculations arc Fatat.u,c ' . 93. Chain of Custody ^-l \*0 pp* a. Seals intact Y N j 94. Suooonrg Samoies a blanks- ^5 ^ b. Received in Lao a Received by Analyst d. Analysis Complete a Calcuiaoon Checked c Xs f. Suaerviso'- ^ qv_ \ v - NGC W610 isnoer.i Kgm *tps~>n$ iw ! H^iio 12. ins^ecnon Nurnftet m-i^aoip ie-:.: ">ec- K'r&.ic.iu ( r^ \. L. Semp-ngL o\fiN^ fl"35 "V/ ^ f. ^o4^^gst^JiCix)ay\ V&4 vmc vogrrWr~ lUfrOtf Sffrvfrfg v>AmCLS ^6asou>vtA rfc > A VP<5SLTH C-R^CKiOL^ L!)0fc.TH- of c^Tkflc__ fegPU, ^:---------------------- > NO- ^o^QT ie Type/Medis 'Tube No. iie Submission No. On/Ott uTnimutees) Reie min ES CC/min nteers) iempie Wupm no) s Summary ________ Srnptinfi Otto 0*vtCoA- VO A. \o ^ *V.S ^ io: l(o? (HMfcfoAt CtMfcCtfU UA ` va a V\ Al V2.M. '> m n:c>4 a io*. Hf p. -2& 2tZ..S> S.S* *1 K.L z\2_. b 441 ZKI.& sii corn'd. 41. Pump Mt- i $.\l It BT 42. Voitag* Cne*ed? oiC B-%* No S! ^ 41 LocaoorvT i ait. 1 lAdcHUCV**7?* Post-Sampling Caiipration Recod# a*. Location/? i ail p o u& (S\ s t Si. flow Rate .____ i ____ :___ _____ <T ^ 5 CC-"/ /VU-1 Sample Weight Calculation* 34. Piter No *4. Pc** Pats Calculations "= 1.6 SZ cc-( Ki*- S?-l cc *. S3-1 1 - ft 4l Po* Rats 41 Method . 1 Cc/fr. 9 SusoJe G PR 47,jn.(iais 7^ 46. OatefTrme 3ias~ SO. Row Pars Catenations i'j.act .. . ,.o^_ -- SS.2~/~~ yft. ^ i^o 31 Initials -- S'8* C3 ^ c * X^vv^L, SI OacWTme A . q>//9/gt. 35. Rnel Weight (mg) 36. initial weight W 57. Weight Gained (mg/ 36. Blank Adjustment 5*. Net Samoie Weigm (mg) Laboratory Results 61. Suteance S r> AH *2) Results bfVLLVLCH^O^^ 1 A 2_ JU ^ A- - e. ftt-LVr ftLCM6<_ a tlS. CULaeMCTKVC 32. Interferences ana ih Comments to Lao SCR.tLoOt'tfetcCT -<D . S3. Chain o* Custody IK jAprl'u-Uod 4-Ojlph: a. Seals intact hLL\ i\CCdec Z-O C^twfafe^fAfeTHVL erxfc#- - *ji <*!,* 5 *5. Analyst* Commarts Ctsl> *< 7>w ^ 'J J/*fskrS JPS ft Received in Lab a Receded 3y Analyst 0. Analysis Complata ft Caiculadon Cheeked 1. Suoervisor Ok. 66. Calculations anc ?gwotes <9-1/5 64. Support.*? Samples > /3 a. Blanks: ----3_ a Bulks:- a Other: NGC 14612 OiC.r-i T".C e~: -'8"* ArTwsirgtrc- Date iissrinwm Name :n. Reps-mp iz> iHS^uo J2. inspection Numoei I iH1^8ofe !i? Sarc-npL (oife-St) S l>UTO'r ' a7q. 1 97 wee (Name -j\EfcK Telephone Number) srv^F>ces Title . CSHC iD 7, Sememe Dale Uoa'M_________ n/lst. 5. Sncp.no Ds\e ____VOl 13. EOCSU'C )nJo*maiOfi a. Numoei <9/3- t Duration , $Akm#+' t.. Fr'VrefecWuelnlwcy IV Occupr.n Cooe A. v^eainer Corenews 15. Photo i)6 (Type ane enecuveness) 16. Pump Checks & Adjustments 1 Deseretion. Operation. wv. ucatien(s). Ventilation and Cornrots bv^(fct H___________________ C&1_____btelC <3^_____ V^CVOggA-rttA, C.qvC^C^_______________________________________________________________ >te Type/MeO* /Tube No. ate Submission No. On/Otf t**T SampJmp Data QMtveCo^c. O**fco>4<^ CU*feco/*<^ bo A bl A be A (at A (s>2. A u-`tw 1> fc:o liTnuuniees) Rate /min 51 cc/min me 'Je; S-v r ui Sample wepm ng) r* Summary 26. Suostance Cooe 2S. 30. 31. 32. Rcs)0 Smo:. Exp. Exposure Type Type Level lo:lb $> toCo ss-x t.n U: 3fe ^ (do cTfr. D_ -s.MT 33. M. Units PEL as. 36. A0J. Severity acoial / ft 6 HO AjA /* Cli D2&. ;c jS- A ^ cAl 51',30 A A sieves (Enter L"*e Mumpers to* most aperns coninouinp to aoditwt etSoct.j el Kumoe? .i Lines (27} fAJ a 0. Date Results fieceomc Ftem Laboratory //// / / __ / --. . / ^L/ $Pl4 ConfC. 37. Citation information N riA Cn. xe. w Tme. MM. Om*r , vrIT. 14613 _ l Nii' 8w pfc| CaHbsattoit Him* 41. Pump Mfg. & SN S<C -v uSS 42. Voltage Che^ed7 BTyibs No u* V 44. Flow Rate Calculations S't'MCT \S2. 941SJ i*-v vs 42. Location/! & Alt. # n * UMfeKVWCieM --' ' Jfc.1 Poal Sampling CaBbiaUon nawda-> <- SZ-* tel 45. Flow Rate ----------------- J . * * .*1S -Sa 46. Method fi.Bubble 49. Location/T & Aft. , 50. Flow Rale Calculations f, [ r o a f- t 61. Row Rate^ ^ *< Sit ^ <A 52. Initials SMnpto WMgM Calctitatfcme 64. filter No. Z^S cti vm1 VS --Ton PH Ks svi e r IM 47. Initials. 46. Dat&Trme JmcO .i >u4 fcC i *-V *( T* S i % s. .<4<rt > 53. Date/Time 4- *o -66 iwai ^*t 55. Final Weight (mg) 56. Initial Weight (mg) STTwWght............ Gained (mg) 54. Blank Adjustment 58. Net Sample Wfeight (mg) NGC 14614 ) Jr Sampling Report U.S. Departi, .nt of Laibbor A Occupational Safety and Health Admlinistration __ $7- r <YliJ7t7C IOD Date 1. Reporting ID 2. inspection Number !. 1*0 Establishment Name "^,r. C*ob%.vcH Co^. 05848133. Sampling Number Person Peril Ifsflpignature) , Employee (Name, Address, Telephone Number) ___ om vCiS,____XJ&zc 'T`^ . Job Title 0\r VA 6. CSHO ID 11. Occupation Code 7. Sampling DDate *\Rf'>4 8. Shipping Dale ^hVchc 13. Exposure a. Numbpr b. Duration Information c. Frequency 14. Weather Conditions 15. Photo AnHcwiO T $fr PPE (Type and effectiveness) 16. Pump Checks & Adjustments Job Description, Operation, Work Location<s), Ventilation and Controls "Tt-V vC&o Cm ^ ibt '`C^UCxt Pump No. _____________ Sampling Data Sample Type/Media FHter/Tube No. C4HS***A<20 % Sample Submission No. 2o A rime On/Off rotal Time (in minutes) Tow Rate D l/min LD cc/min /olume (In titers) K, ^. * * tSSW .* Xp 2*4771 Kp K<M nm K- *0 . Si* e "5?** A z*4*r e'Stnif \4 CLHTL ... . vis. % .e-iM <L 'let Sample Weight (in mg) asuro Summary 28. ie Substance Code 20. 30. 31. 32. Rqstd. Smpi. Exposure Type Type Level 33. 34. Units PEL FI r' i :js?? 4- UW r -------------- . Cont'd. 35. 30. Adj- Severity 37. Citation Information NO FTA Ov* Eng. PPE Tmg. Med. Other Ctt. Exp. NGC 14615 Additives (Enter Line Numbers for those agents contributing to additive effect.) Total Number /~k 40. Date Results Received of Lines (27) From Laboratory CJl/f--. /. /VZSLflC^ l m\ 41. Pump Mfg. 4 SN 2iod& 4a. Voltage Checked? ---------oKT* (ZfYtt 43. LocationTr & Alt. SftJt^tAT A u Tg V Post tamping Ca^fHon nacoxa v 49. Location/T & Alt. i. at Ip .9 SI. Flow Rate . . e-VS C*t tample WalgM Calculatlone $4. Filter No 44. Flow Rato Catenations SWIM Vttl 5*1 Mx.* U2 U8 Wki ' ewe $ \M U4 nr Ka S* 3** 2LJ .USS, * to. Trff * 4IT 45. Row Rale .ti Cm 45. Method 0^Bubble O PR 47. Initials 4** 45. DataTTime ** 0. Flow Rate Calculations feUfc t**T Hat '**. ivfc K: ** -.H** , 52. Initials 8TM Sum < 5* > i e. *f 2 49 = 0 S3. Date/Time V;*<J pa*. 55. Final weight* (mg) 54. Initial Weight (mg) s~weight.......... Gained (mg) S5. Blank Adjustment 59. Net Sample Weight (m'g) ------ ------ . . ....................... .................. ........... ......... ............ - ........ ...........................- ................................. . . -------- NGC 14616 vir Sampling Report U.S. Departn. jit of Labor Occupational Safety and Health Administration y __ 40D Date 1. Reporting ID *Lskiio 2. Inspection NurrfBer /*/7`}zrot Establishment Name 6 CrO dl r c L\ C Oif Person Performing Sampling (Signature) CKeJL . Employee (Name. Address, Teiephori# Number) Pf fl <-l .a A.CC 4L4-.eX. 0.*CSHO ID Woos-) fjV) tO y / 5 SL ^ A/ ^ J' O . Job Title 11. Occupation Code 05848053. Sampl'ng Number 7. Sampling Date B. Shipping Date A /s'i._________^ni/xi. 13. Exposure a. Number jj. Duration tntormalion ** c Frequency 14. Weather Conditions IS. Photo eC 4*7iPfrrt0 Y . PPE (Type and effectiveness) 16. Pump Checks 6 Adjustments Job Description, Operation. Work Location(s), Ventilation and Controls Jo.{x^v 0">*v OVc?JL j3u.&.Li____ a"'gr' *- io & ^ J o Pump No. S Sample Type/Media ' _______________ 2-H>*S Samptlnfl Data Filter/Tube No. Sample Submission No. ID & ;o Time On/Off Totaf Time (in minutes) Flow Rate 0 l/mfn D cc/min Volume (In liters) Net Sample Weight (in mg) 5-; 4 -i" r: 14 iLCtJ-XSLXzo MIL 2V>*i MM* K* -*t3 K*' -H3 .9*/ t .Wt L oeure Summary 26. ne Substance 3. Code 20. 20. 21. flqstd. Smpi. Type 22. Exposure Level 23. 34. Units PEL rxn't L A Ae^sso U 35. 20. Adj. Severity Cont'd. m 37. Citation Information NO FTA Omt EfiS. PPE Tmg. Mad. Olhar Ctt. Exp. Additives (Enter Line Numbers tor those agents contributing to addntve effect.) .'Total Number of Lines (27) y 40. Date Results Received From Laboratory Ci /, //>*/ '/^2/ 0^0 NGC 14617 iiir i CaNbfatton 41. Pump Mfg & SN 42. Vbftage Checked? Yn pt 43. Location/T & AH. No b & feet*8ampNng CaBbrUan Iteinoadi X 48. Localion/T & Alt. 44. Plow Rat* Calculations 45. Flow Rate 45. Method Bubble PR SO. Flow Rate Calculations 47. initials 48. Daten~ime ' -P o <" 51. Flow Rale i: 8impl WMgM CHeuMwii $4. Finer No. 5$. Final Weight (mg) 50. Initial Weight (mg) 57. Weight Gained (mg) 54. Blank Adjustment 58. Net Sample Weight (mg) 52. Initials 53. Date/Time ---------------------- -- --------- --------- ----------- --------------- ----- ... -------------- -- .... ... -- := I NGC 14618 r Sampling Report U.S. Departmt . of Labor Occupational Safety and Health Administration g70s - 7ii lob Description, Operation, Work Locetion(s). Ventilation and Controls ump No. * C) ample Type/Media Iter/Tube No. ample Submission No. me On/Off ^ Sampling Data OCi/bjLTaA rtai Time n minutes; ow Rate 1 l/min O ee/min olume n liters) at Sample Weight n mg) _3r._'0.6_ S 'DM /7/H-A-. 67. i" 37. <r fftP sure Summary 20. Substance Code 20. 30. 01. 32. Roald. Smpl. Exposure Type Type Level 0>57f c A F 33. 34. Units PEL C?Sgx> c 7T F So&o c A r 1% l* A F Additives (Enter Line Numbers tor those agents commuting to additive effect.) Total Number zJ 40. Date Results Received / /~ss at Unes (27) *7 From Laboratory ; //? /*<L- 36. 30. Adj. Severity Cont'd. 07. Citation Information No FTA Ow Ena- PPE Tmg. Mod. Other CM. *p. NGC 14619 OSHA-91(S) (Rev. 1/64) p 41. Pump Mfg. & SN 4*. VWag Checked? Yte* E*' 4*. UKMtkM^r & An. No Wji v S.m` 1' 41. Location^ & AIL ; 81. Flow Rate r- 44. Flow Rale Calculations s> , 48. Flow Rate 46. Method Bubble PR SO. Flow Rate Calculations 47. Initials 4a. DalaTime 82. Initials S3. Date/Time NGC 14620 ir Sampling Report 00 Date 1. Reporting ID 2. Inspection Number ____ 19 7 Establishment Name A. Gr&ndl r; cA Person Pertorminaamplina^6iglkature) Ij Jjxii'Y ^"7/31 i Employee (Name. Address, TelephrEfe Number) r c* .. iy-9 s-'<&*- Job Title U.S. Departmt of Labor Occupational Safety and Health Administration ________________ g7 - 7as- -72.S 0584607 6. CSHO id /?w3 P m_________ - |11. Occupation Code xria/TL_7. Sampling Dale 6. Shipping Date xP _______ 13. Exposure a. Nurpbef b. Duration Information *S r "nz/iMt. 14. weathet Conditions IS. Photo ** Y PPE (Type and effectiveness) 16. Pump Checks & Adjustments Job Description. Operation. Work Location(s), Ventilation and Controls Ly Iru 5ump No. O Sample Type/Media g'pSampling Data CblA.C>Jl Cont'd. 'ilter/Tube No. Jample Submission No. 2.34. &23/L- ime On/Off ------------------- otal Time 'in minutes) o; 3 ? s> :31 --------- ------------ :low Rate 3 l/min cc/min 'otume 'In Hters) let Sample Weigh! in mg) 67. cr 67. S' --------------- --- - aur* Summary 26. e Substance Code 29. 30. 31. 32. Rqstd. Smpl. Exp. Exposure Type Type Level 33. 34. Units PEL 36. 36. Adj. Severity 67. Citation Information NO Cit. FTA Over Eng. PPE Tmg. MML Other Ep. 12579 c r % -c . |> C2S& L* A- t L ft p C32b \c A F AddtNes (Enter Une Numbers lor those agents contributing to additive effect.) N<3C 1 462 1 Total Number 2 40. Date Results Received pf Unas (27) From Laboratory Case File Page L /4 0SHA>91(S) (Rsv. 1/64) 41. Pump Mfg. & SN 42. Voltage Checked? tbs No 43b LocstiorVT 5 Alt. r _ 111113 ;i . , . . --1 . ... iim> vhbmhoib Nmns ** * 45. Locabon/T 5 AH. L 44. Flow Rats Calculations 45. Flow Rate 1 46. Method Bubble PR 50. Flow Rate Calculations 47. Initials 45. Date/Time 81. Flow Rate 5.. sunpii nvifnv mcuiiDoni 54. Filter No. SB. Final Weight fmg^______ 56. initial Weight (mg) 57. Weight Gained fmp; 55. Blank Adjustment 59. Net Sample Weight (mg} Laboratory neautts 50. Lab Sample Na 5t. Substance a. J??tAJuVr ciJjL 52. Initials 53. OatefTime 12 ^ *ii Results a 1y tU_____ -->%&J-Jk 1 _____ ___________ _ ... /f ... //_____ Si *____ At___ -- ---------- -------- ryyf // V1 V '* 02. Interferences and IH Comments to Lab Cti&m ccj2*ca 55. Analysts Comments 55. Calculations and Field Notes . 63. Chain of Custody 54. Supporting Samples a. Seals Intact N a. Blanks: 9flb. Received in Lab c. Received by Analyst d. Analysis Complete ?>r b. Butte: & Calculation Checked MikP c. Other: _ f. Supervisor Ok. tfGC 1" vir Sampling Report U.S. Departmt of Labor Occupational Safety and Health Administration Afo _. 40D Date 2. Inspection Number /*fnei.3r op. 0584599)3. Sampling Number Establishment Name 4^. f~ Af-ertSl r ,c UPerson Performing Samprltijry jSignatur^ 7T7>?/$<,6. CSHO ID //<30 5.2. 6. Snipping Date Employee (Name, Address, Telephone Number; . rr C o^*^-P 7 ^ 13. Exposure Information JUcrt'f'k Co^-bc^fdL 14. WeatheuConditions " ~w-*-y . Job Title 11. Occupation Code PPE (Type and effectiveness) 16. Pump Checks & Adjustments Job Description, Operation. Work Location(s). Ventilation and Controls Cont'd. Pump No. ^ Sample Type/Media Filter/Tube No. Sample Submission No. P.liOaT/m! *22 If) Sampling Data ---------------- --- Time On/Off T(iontaml Tiniumtees) 0 l/minFlow Rate D cc/min V(ionlulimteers) (in mg)Net Sample Weight M* 2:0 5- isr ___________ .. .. -- .... . .. . ,30/Hi^- $-0 rt-WSw ---------------- ... JCUf Sis'- --........... ....... Lj&aj. qzJL weure Summary r. 26. ne Sibstance Code 26. 90. 31. 32. fiqstd. Smpl. Type tJS Exposure Level 33. 34. Units PEL *as?3 C A F ' CZSXQ C, A r P> Co 32o L A l. #?*( Ar 1. Additives (Enter Line Numbers tor those agents contributing to additive effect.) i Total Nurber . 1 40. Date Results Received of Lines (27) Uf0 From Laboratory 35. 36. Adj. Severity 37. Citation information NCoil FTA Over EnQ. PPE Tme- Mad. Othar Exp. NGC 14623 jCase File Page Cp^ OSHA-91(S) (Rev. 1/64) w--m*no Weowfc 41. Punp Mtg. & SN ....Of) 42. Voltage*Checked? h" CySe 43. tocatiorVT & Alt. No ..............^*-v-- 44. Row Rate Cafculabons <so o ctA-- boxsvAsAJ^r)-- Poet SampOm Ceflbmtton Rsooide 49. Location/T & Alt. 45. Row Rate JO. 44. Method % Bubble DPR SO. Row Rate Calculations 47. Initials C"> 44. DataTime 7/JlV/fr- -P o 57. 6*cc//^- _t 51. Row Rate . 52. initials ------------------- ^} S c~ s si*-.______ Semple Wiljht Catcutattona 54. Filter No. ^_ 55. Final Weight (mg) 54. Initial Weight (mg) 57. Weight Gained (mg) 50. Blank Adjustment 59. Net Sample Weight (mg) ............ --........- -- ------------------ --H S3. Date/Tim - -........ . ----------------- >}GC l4624 Sampling Report Date 1. Reporting ID 2. Inspection Number Ml U.S. Departmt . of Labor Occupational Salety and Health Administration --_ . g i ->*<r -12-5 _ DA 05845739. Sampirig Number JL J . S' son Perloffp'Of SarrqM& (&0hMure) l-' LTTJCJr / 'LA. ------^ 8.JZSHO ID 7. Sampfjn^Oate^^ 8. SNpjtng D^te aloyee Mame. Address. Tahitione Numbed ^r) CL<^ .............................. b Title 11. Occupation Code 13. Exposure a. Number b. Duration .. information / ^ 3*<**Z4- c Frequency 14. Weather Conditions *jjUu<J. ________________ 15. Photo y JE (Type and effectiveness) 16. Pump Checks & Adjustments o Description. Operation, Work Location(s), Ventilation and Controls mp No. 0 3 impie Type/Media 5 Sampling Data CJlOASaoQ C^&sLC.GnO Iter/Tube No. impie Submission No. ^soa me On/Off p:2 -x --....... .......... - ------------- ------ Cont'd. ttal Time n minutes) J9:3>r J 1$ -------------------------- gw Rate ] t/mtn cc/min slume n liters) et Sample Weight Ti mg) SI-S' SI. S' . isdt ------ .-- ..... sure Summary 2ft. Substance Code 29. 30. Rqstd. Snip!. Type 31. 32. Exp. Exposure Type Level 33. 34. Units PEL 35. 3ft. Adj. Severity ct - 2 o3/o c a Ar &H 7T Additives (Enter Line Numbers lor those agents contributing to additive effect.) 37. Citation Information No FTA 9m Eng PPE Tmg, Um3 Ottwr Cit. E*f>. NOC 14625 ETotal Number of Lines (27) 40. Date Results Received Prom Laboratory ^Z/s-Zr* ^7Case Pile Page i/P^L ftSHA.SKSt (Rev. 1/S4) pie twptljn CeBbratlon Reunite 41. Pump Mfp. & SN tetgf* 49. Voftoos Cheeked? YS 43. LocatkxVT & Ait. ^* No I^T ffprt WmpBnfl Catenae h 44. LocationfT & Alt. 44. Row Rate Calculations 48. Row Rate 44. Method Bubble LJ PR SO. Flow Rate Calculations 47. Initials 44. Data/Time v <z. ' 51. Row Rate V Sample Weight Crtciitetlow 54. Fitter No 55. Final Weight (mg) 56. Initial Weight (mg) 57. Weight Gained (mg) 56. Blank Adjustment 55. Net Sample Weight (mg) 52. Initials S3. Date/Ttme -- - - - ----- ------ -- - ----------- ---------H .............. ............. ..................... ................... ......-- --*.-------------------- ........... -------- -- - ----------- 1 <rU.S. GOVERNMENT PRINTING OFPICC: 1984--Ut-MS NGC 14626