Document rpV0KE2yzk4rbjDXoXorxmMov

9.>^QP00356254 ABERDEEN CHEMICAL PLANT-DOSIMETRY RECORD QF-V cott/'tciwf_______________ ________ N 9 001332 D,,. S6cial Security No.;Job Code Instrument HAZARD VCM Lead Total Dust ___ Time ?-`^_AM(M PM( ) AM(*-)PM( ) Airflow_______________ ^k6saasftTSfi5ioN -PPM o --M^ograms/M0 ' --Milligrams/M'* __________________ Samnle Tima W >" PEL: --Micrograms/M^ Analyst Analysis Date )Hazard: VCM ( ) Lead { ) Dust ( ) ( N 001332 1. I came to work atAM ( ) 2. I left work at -------------------------- AM ( ) PM ( ) PM { ) Firewatch Work? Yes / No (Circle One) 3. I did the regular work of a (enter Job Class)________ 4. I used a respirator during the following jobs (check one) Non* Dust Mask Alr-Un* Rwp. Scott Alr-Pik 3M Air KUt 5. The following unusual events may have caused me to be overexposed: 6. Other comments ?nd information (Use reverse side of card) Signature_________________________________ Please complete and return to Guard