Document penDKLKq9rO30XxQLeQ2y8xb7
ABD00338187 CONOCti)CHEMICALS - ABERDEEN PVC PLANT
DOSIMETRY CARD (A)
NSAMPLE
1648
A
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ABD00338188
CONOCO CHEMICALS - ABERDEEN PVC PLANT
DOSIMETRY DATA CARD (B)
SAMPLE N2
Hazard: VCM
Lead ( ) Noise ( )---------------------------- -( ) Date
1648
* ft
Time Clock (Lead Sampling Only) : IN:
AM( ) PMj^l OUT
AMpO pM( )
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
Area
Time
Area
Time
\/,'r~yi A ______ 3 h $ :
1? //a5
List most likely causes of possible overexposure to the'hazard.'
System^
Check respiratory protection you used:
(,^TNone
( ) Dust Mask
) Air-line Respirator
Signature
Please complete and return to guard
Tfc
( ) Scott Air-pak