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Shower/Eye Wash Yes <br />Washing Facilities Yes <br />Drinking Water Yes <br />First Aid Kit Yes <br />Spill Kit <br /> Yes <br />No <br />No <br />N• o <br />N• o <br />-__-_ No <br />Temp Wind <br />ApProvais. <br />an Satety Unit <br /> Date <br />Telephone No • <br />Supervisor <br /> Date <br />.RD APPRAISAL AND RECOGNITION PL/ <br />REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br />Level of Protection: :2 A <br />Glove(s): Neoprene Nitrile PVC <br />Rubber Viton El Liners <br />Suit: Tyvek Saranex <br />1A/P Cartridge <br />PE Tyvek <br />gLi <br />'Li PVC <br />Respirator: <br />SCBA <br />.1X Hardhat <br /> Chemical.Resistant Boots <br />.._ <br />Heat Stress (Expected Temp. <br /> <br /> ° F) D Escape Respirator ..,..1‹ Boot:Covers _. <br />Infectious Aaents D Hearing Protection D Other <br />Inorganic Gases <br />Was level of protection changed during investigation? Yes ED <br />(Complete page 4 for changes) <br />Metals <br />SURVEY/SAMPLING EQUIPMENT <br />01 Noise (Source <br />Other Airborne Contaminants <br /> ) 0 Combustible Gas/02 Meter - <br />HNU Photoionizer 11.7 10.2 E.-.J 9.5 probe <br />Calibration date,:::,_ <br />Calibration tine <br />Oxidizers <br />Detector TubesctSbecity• _ 0 Pesticides <br />OVA-128 Meter 0 pH Paper/Meter <br />0 Radioactive Materials <br />Cafibrat— ion Oate <br /> <br />4.0--41acii2t-ion Meter, WBGT Meter <br />Binoculars <br />Z--7= <br />L..; 2-Way Communication Kit <br />POTENTIAL HAZARDS (Risk) <br />(Identify materials in space provided) <br />C.arcinoaens <br />Confined Spaces (Source <br />Corrosives <br />Dusts <br />Flammables <br />Solvents <br />TOXICITY OF PREDOMINANT MATERIAL(S) <br />(Arrach sheet for additional c.nemicais) <br />P(317 -P,_^.-1713 5 Chemical . <br />1-&,----t,-.-tibration date <br />Other <br />TLV: Odor Triresholt: <br />Acute Health Effects: <br />Cnronicl-lealth Effects: <br /> - <br />Sampling Eouiprnent (List) <br />WORK/REST CYCLE (per hour) <br />REQUIRED DECONTAMINATION/FIRST;AID <br />Time on: <br /> Time off. <br />Page 3 of 4