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CONOCO'CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY CARD (A)
AMPLE NS
A
1315
Hazard: VCM (V )
Name Department
Instrument No Noise Cell No.
Laid ( | Noi( I
S.S.
Job Clan
Time
Start AM( )PM(
Airflow
Slop
.
AMM^M( )
Analyst
Analysis Date. S-f -
Hmeird
-
VCM
PEL: 1 PPM
Noise
Over ( )
Under ( ) IISdBA
Lead tMferogranw)i TOT:
|
PEL:
Per M3
TWA Exposure . ( PPM
% of PEL Per M3
CONOCO CHEMICALS - ABERDEEN PVC PLANT DOSIMETRY DATA CARD IB)
-E 'NM
SAMPLE NO
Tti: ..
13*15 A
Hazard: VCM ()ft Lead ( ) Noise < )
( ) Date
Time Clock (Uad iMiwItne Only) : IN:_____
AM( | PM( ) OUT;
PM( )
Ust areas you spent most time in and estimate amount of time {nearest hour is sufficient) spent
Area
Time
Area
Time
i
List most likely causes of possible overexposure to the hazard
Check respiratory protection you used:
( ) None
) Duct Mask
) Air-line R
Signature
Please complete a nd return to guard
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VAB.0001069440