Document x5dX13ZkgQa0r5Y366kyoz91E
ABI RDE N CHEMICAL PLANT--DOSIMETRY RECORD $ N 1339
Name Social Securi
.2LInstrument No
Noise Cell No.
Shift
Job Code Start
Time yt>& AM()4PM< )
Airflow
Date
Mc/tT
Stop AM( )PM(
^HAZARD VCM
Lead
Antimony
Total Dust
1--------------------
Noise
SAMPLE CONCENTRATION
(Time Weighted Average)
/. /
-PPM
--Micrograms/M3
--Micrograms/M3
--Micrograms/M3
--% PEL
Air Vol (Liters)
PEL:
--Micrograms/M3
115 dBA?
Yes / No
Analyst
Analysis Date ^ l*" a ^--
+ f. --
* r --HI
l H,
^ -
^ard: VCM {i^T Lead ( ) Antimony ( ) Dust ( ) Noise ( ) -k
<) N
1. I came to work at /
__ 22. I left work at
AM AM ( )
> Firej^tch Work?
Yes fNo'jCircle One)
3. I did the regular work of a (enter Job Class)
4. I used a respirator during the following jobs (check one)
None
Dust Mask
AiRr-aLsipn,e
Scott Air-Pa k
1339 a
3M Air Hat
5, The following unusual events may have caused me to be overexposed:
6- Other comments and information (Use reverse side* of card)
Signature
CONOCO NOTICE
Please crfiftplete and returifto Guard
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ABERDEEN PVC PLANT
A
From:
Subject: VCM
1. You are hereby notified that on was as shown below:
PEL: 1 PPM
Over (
Lead (Micrograms) | TOT:
Under ( PEL:
your exposure to the subject hazard TWA Exposure
115dBA Per M3
%of PEL Per M3
2. This exposure was above {tsTbelow ( ) the permissable ..................
3. The corrective measures being taken to reduce exposures to this hazard to safe limits are con tained within the company's written plan. This plan is made available for your inspection in the Safety Department at all times and you are encouraged to review it.
4. Please sign and return this/wtice.
Employee Signature
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VAB.0001067804