Document ymd6V1KD2Nv5VambjM4pGo0wV
^ ^.
ABD00342717
CONOCO CHEMICALS - ABERDEEN PVC PLANT
^ ' ' DOSIMETRY CARD (A)
N9SAMPLE
037$
Hazard: VCM Name__ ~ Department
Lead { ) Noise
"".Vy/Vs-
S.S. Job
Date ^x/so
Shift___ Q_
Q()w^C>ygW
Instrument No
Time
Start
Stop
.AM( t RMy| 7> 7~__ ammlPMI }
Noise Cell No.________
Airflow
Analyst:
.Analysis Date:
Hazard
VCM
PEL: 1 PPM
Noise
Over ( )
Linder { )
Lead (Microgramsll TOT: *
PEL:
'
115 dBA Per M3
TWA Exposure
/,^5 PPM
% of PEL Per M3
i/"' ABD00342718 CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY DATA CARD (B)
N2SAMPLE '.037*
Hazard: VCM (Lead ( ) Noise ( )-----------------------------
Date
i ftp
TimeCIOck (Lead Sampling Only) : IN: &' /$(? AM{ ) PMI^J OUT: 7pQ AM(J<^ PM(
List areas you spent most timejn and estimate amount of time (nearest hour is sufficient) spent.
Area
Time
Area
Time
5T
-S'
List most4jkely causes of possible overexposure to the hazard.
ie/ns zi____
_________________________________________
2.
Check respiratory protection you used:
( ) None -
( ) Dust Mask
(^^ir-line Respirator
Signature
Please complete and return to guard
( ) Scott Air-pak