Document q8L9aXN5ojX9y8LYo01QzDOM
ABD00344551
COvJOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A)
SAMPLE N2
1316 *
ABD00344552 . CONQCO CHEMICALS - ABERDEEN PVC PLANT
DOSIMETRY DATA CARD (B)
SAMPLE N2 .1316 A
Hazard: VCM (^} Lead { ) Noise ( )
Date
)?ooTime Clock { Lead Sampling Only) : IN:
AM{ ) PMI^i OUT*f7cO ANM^TPMf
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
Area
Time
Area
Time
OLri
__________________________________,
_____AJeu
_________ _____________________________________
List most likely causes of possible overexposure to the hazard.
1.
2.
3.
Check respiratory protection you used:
(^LNone^ Signature
( ) Dust Mask
Air-line Respirator
/f)
Please complete and return to guard
Scott Air-pak