Document nmZ0r63m8KZN9Vgea6QRdQ5Lz
ABD00096768
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A)
N2sample
069 In
Hazard: VCM (Lead { ) Noise ( )( ) Date
/- j P-<D
Analyst:
Hazard
/
.Analysis Date: _
VCM
PEL: 1 PPM
Noise
Over-( )
Under ( ) 115dBA
Lead (Micrograms)l TOT:-
PEL:
Per M3
TWA Exposure
0`Z
ppm
%of PEL
Per M3
CONOCO CHEMICALS-ABERDEEN PVC PLANT ' nDnOcSiIMMECTTRoYvDnAATTAACrAADRDh ((BD)l
MOcAMp.=
J>Aiv>rLt N-
flCQI
.UD3 I
Hazard:' VCM (//f Lead ( ) Noise { )
Time Clock (Lead Sampling Only) : IN:
l
^Lls_( ) Date
Op
rj
AM(^ PM| ) OUT'(_________ AM( ) PM^f
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
-Area
Time
Area
Time
List most likely causes of possible overexposure to the hazard.
1.
2.
3.
Check respiratory protection you used:
None
( ) Dust Mask
( ) Air-line Respirator
Signature
L)/Y1 pdSVK
V' PDlieaansees OcoAmmpnlledtteo an nd rraettiurn to guard
( ) Scott Air-pak