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Dow sheet <br /> 7NorklTask Hazard Anelycic r]a�ai0 �t,,tt11,, r <br /> (Duplicate As Required) ®cab v? <br /> Operation/Task: <br /> Hazard: xP L ��U t 13 r S s V APotti. 1, <br /> Action Level / Triggering Physical Condition (use separate sheet for different severity of each condition): <br /> M-4 , roo-p i oew FSAME., UNI,O�3ur,'E, )SQ ILL <br /> Anticipated Level / Condition During Normal Operation: <br /> )00 Q P rYM AmQi WT A i rL <br /> Csus�A►Nom, <br /> /Normal Precautionary Measures Used to Avoid Hazard: <br /> `a7�UN® II 1P-`'MVQ g.4 , NO '5rn01(U_%NG Ji`NS t <br /> �noti- PVJ 1m�vfJl��N'Dp _T , lrlrl� EXTtNC�USN4.+�S , Q.XPLOS)c7W <br /> �VMV7 <br /> Corrective Action(s) N Action Level i Triggering Condition Exceeded: <br /> T a5P I ri-A-To iF , )00 P P tri A m�t'ra f-D A►r%_1*5 V STI <br /> fa l tat tye� <br /> Additional Personal Protective Equipment If Action Level / Triggering Condition Exceeded: <br /> C Respirator(type) y2 . <br /> N Eye Protection(type)SpF tti► Com+bcS�c <br /> Gloves(type) ®int 'Ttr P ..�._ (type) �-.{V e I <br /> Foot Protection (type) <br /> _Head Protection(type) UprIt1-lq^ <br /> other (describe): <br /> Monitoring Method For Hazard: — <br /> Y direct reading instrument <br /> L colorimetric tube dosimeter <br /> air sampiing Pump&nled'a <br /> -�L other(describe): LCI.W) 0 L rnvrC ti <br /> Frequency of Monitoring: continuous <br /> start of shirt <br /> hourly <br /> halt-hourly 2( 15 minute intervals <br /> other (describe): <br /> Monitoring Device: I—rcL W' oz mi-.,i,, <br /> �J n�(�64..n-'1'lt6fS <br /> Calibration Method / Frequency of Calibration: -D ptwp& ON VSI:. . A "AsT 0ou, A <br /> W.-XANE, 1iNOra►N <br /> Person On-Site Responsible For Evaluating Monitoring Data: S;Z YJ GJg <br /> R*lem oe: Alameda county ROW 17(d).17(e).a»(t). 29 CFR 19 to.120(bX4)(i)(A).(c)a(E) VOW1.i <br />