Document xj5DbvKyNL9Q58mvqQ95D0p4G
ABD00342723 CONOCO CHEMICALS - ABERDEEN PVC PLANT
DOSIMETRY CARD (A)
NSAMPLE
1315
Hazard: VCM (^ )
Name..
Lead { ) Noise ( )
wv->
S.S.
$4Date 32'Iff* Shift A
Department__________
Job Class
Instrument Nn.J^/Cd' /f Time
Start ____ AM{ )PM()<^
Stop
^
__ AM|^M|
Noise Cell NoAirflow
( HaWrd
VCM
Noise
Lead (Micrograms)i
PEL: 1 PPM
Over ( )
Under ( }
TOT:
PEL:
I?-? - &
115dBA
Per M3
TWA Exposure ts . f PPM
%of PEL Per M3
ABD00342724 CONOCO CHEMICALS - ABERDEEN PVC PLANT
DOSIMETRY DATA CARD (B)
N2 .SAMPLE
1315
Hazard: VCM (/) Lead ( ) Noise ( )--------------------------------( ) Date
ax* nfo
Time Clock (Lead Sampling Only) : IN: AM( ) PM( ) OUT:
AMI ) PM{. )
List areas you spent most time in and estimate amount of time (nearest hour is sufficient) spent.
Area
. Time
Area
Time
1/
List most likely causes of possible overexposure to the hazard. 1_______________________________________________ !_________
Check respiratory protection you used:
( ) None
( ) Dust Mask
( ) Air line Res'
Signature
Please complete and return to guard