Document vVwyNp31bdaMN8pOzLwwQzVKm

ABD00096795 ABERDEEN CHEMICAL PLANT-DOSIMETRY RECORD N2 1 842a HAZARD / 1/ VCM Lead Antimony Total Dust Noise SAMPLE CONCENTRATION (Time Weighted Average) j ,------- PPM O --Microgram$/M O --Micrograms/M --Milligrams/M^ -% PEL Air Vol. (Liters) PEL: o --Miaograms/M 115 dBA? Analyst Analysis [fete Yes / No ___________ Hazard: VC A ( Lead { ) Antimony ( ) Oust ( ) Noise ( ) N2 1. I came to work at 2. I left work at ___ e 7oc lSr0 am K? --AM" PM ( ) PM (J^r Firewatch Work? Yes /(fNolCircle One) rJ 3. I did the regular work of a (enter Job Class) ____/ Q A.C 4. I used a respirator during the following jobs (check one) None Dust Mask . 1842 A 3M Air Hat ave-paused me to fce overexposed: t- )foot)fa ft tvV f A6. Other comments and information (Use reverse side of card) Signature. Please complete and return to Guard