Document ppv5JjLbod4eemJxbe3MYGedw
ABD00096763
*
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A)
NSAMPLE
1417
Hazard^VCM { NameXv
Lead { ) Noise (
.S.S.
.( ) Date hjft
Department.
Job Clas_
Instrument Mn
__ Time
Start
Stop
^) --7 ^ --AM{ )PM|^)
Noise Cell NoAirflow_______________
___________________
Analyst:
.Analysis Date: *7
Hazart VCM Noise Lead (Micrograms)l
PEL: 1 PPM
Over ( )
Under { )
TOT:
PEL:
IISdBA Per M'
7 ' 3Q
TWA Exposure
4 PPM %of PEL Per M`
CONOCO CHEMICALS-ABERDEEN PVC PLANT r , "DOSIMETRY DATA CARD (B)
-AMPI P NO n~
1AM - 1* 1 7
Hazard: VCM
Lead ( ) Noise ( )
Time Clock ( Lead Sampling Only) : IN: /
AM (<PM(
.( ) Date f/z/tcl
OUTl a.
AM( ) PMH'
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
f/A:VA#
Area
Time
List most Hkfely/Causes of possible overexposure to the hazard.
_______ _____________________
2__________________________________________________________________ :______________________ 3_________________________________________________
Check respiratory protection you used:
None
( ) Dust Mask
( ) Air-line Respirator
( ) Scott Air-pak
Signature_______z__::^-------------------------------------------------------------------------------------------------- ------Please complete and return to guard