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• , • •w�p4,IV. C � •.. • • <br /> 1 7 DL <br /> Detail sham <br /> Work/Ta4k Hazard Anatyelc nos- - <br /> (Duplicate As Required) 000126 <br /> Operation/Task: <br /> - . . Hazard: At11 tU� 1 N TJ No , <br /> Action Levet / Triggering Physical Condition (use separate sheet for different severity of each condition): <br /> 5i_1PP ►N(, <br /> Anticipated Level / Condition During Normal Operation: <br /> NONE <br /> Normal Precautionary Measures Used to Avoid Hazard: <br /> S No rLL. NQ t,.-�'-., 1'L�v►-a rpt f..P�rv'.aoBafq t...F(�ve,n i'E.6 f£��t�.S. . <br /> Corrective Action(s) H Action Level / Triggering Condition Exceeded: <br /> UvSoN f rb tri 140 Lk_ <br /> Additional Personal Protective Equipment If Action Levet / Triggering Condition Exceeded: <br /> l.. Respirator ) <br /> ,_Eye Protection )SA(-►h Gt,ixS� <br /> Cloves(type)_ Z110-)-14 <br /> (Mpe)Foot Protection `, <br /> (type) Head Protection(type) 1yA��� <br /> ,�other(descnb®): ti�Tt•Y,P) pr6 l CIA WI& <br /> Monitoring Method For Hazard: observation direct reading instrument <br /> calorimetric tube dosimeter air sampling pump&madra <br /> other(describe): <br /> Frequency of Monitoring: X continuous start of shift <br /> hourly haft-hour <br /> lY 95 minute intervals <br /> other(describe); <br /> Monitoring Device: IE-( <br /> Calibration Method / Frequency of Calibration: W)A <br /> Person On-Sit® Responsible For Evaluating Monitoring Data: 4aVLG-3:-f,'1?ICN '71T1, <br /> Refer-nce: Alam CcunfY RsWpwnMts 17(d),17(e),&17(i). 29 CFR 1910.120(bX4#YA),(C)E(E) WOW <br />