Document vV1pY2eyD1jkyVB83Doga2EXb
No 00i084
ABERDEEN CHEMICAL PLANT-DOSIMETRY RECORD
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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
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