Document vV1pY2eyD1jkyVB83Doga2EXb

No 00i084 ABERDEEN CHEMICAL PLANT-DOSIMETRY RECORD uu1u8q Mjmp Ou) n,,. Sdcial Security No.Job Code, ^ Instrument No. <^*7 ______________ Start< Time 4r AM( I PM(>r)T Stop AU^PU( ) Airflow_______________ __________________ HAZARD VCM Lead Total Dust //?.! ~PPM 1 --Micrograms/M^ --Milligrams/M^ Samole Time PEL: . --Micrograms/M^ Analysis Data //"/ ^ Hazard: VCM ( } Lead ( ) Dust ( ) _I 1. I came to work at--------------------- AM { ) 2. I left work at AM ( > - N 001084 PM ( ) 1 FFirierewwaatctchhWWoorkrk?? PM ( I YYeess 1/ NNoo<C(CiricrcleleOOnen)e)' 3. I did the regular work of a (enter Job Class)!____________________________________ 4. I used a respirator during the following jobs (check one) Oust Non* Mask ' Air-LIn* Rip. Scott Alr-Pik 3M Air Hat 5. The following unusual events may have caused me to be overexposed: 6. Other comments end information (Use reverse side of card) .-Signature Please complete and return to Guard