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Nust o vapors noticed in preathinc zone? <br />No (if yes, describe) <br />C Yes <br />POST SITE INSPECTION DATA SHEET <br />Date• <br /> <br />,r. Site Safety Officer -•- Telephone No • — <br /> <br />Prepared by: <br /> <br />Investiaation Date• <br />DOHS Personnel Presen— <br />Append to Med. File <br />Survey Equipment Used and Readings Optained: <br />L7 Combustible Gas Meter, Calibration Date: ; Reading <br />Oxyoen Meter Calibration Date: • Reading <br />-7 HNU Pnotoionizer Prope No • Calibration Date • • Reading <br />Soil Sampler KiT • Reading, D Detector Tube Readings <br />PH Meter/PH paPerimeasured pH: 1:2 Radiation Meters) No ; Reading <br />2.7 WBG7 Heat Stress Reading Meta! Detector- Reading <br />; <br />D Other <br />Personal Protective 'Equipment/Clothing Used: <br />fl 0 <br />CameraNioeo <br />_ <br />CD OVA-72E Calibration Date --- ; Reading <br />C Level A D Level B LevelC _ <br />Gloves, Type <br />2.7 Level D Pull-Face Twin <br />Cartricce Type, TC <br /> <br />:3 Boot Type, PVC; <br />SAMPLES TAKEN: <br />"=.7 Slucice OGas <br />Neoprene; Rubber /Coveralls ,TyPe <br />Yes No Describe Samples and. Sampling Technicue:olid <br />Exposure (did skin contact occur? <br />EXPOSURE SYMPTOMS: C Yes <br />Liquid <br /> 7rowe: <br />Bottle 1: 4,2Sucket-Auger <br /> Coiiwasa Glass Tubes <br /> 0 Auger C Peristaltic Pump <br />Heaoache: D Yes <br /> Faint/Dizzy: D Yes <br /> Nausea: .7.2 Yes Chills: ElYes trNo <br /> Clammy: 0 Yes <br />Effects atter leavinc tne site? Yes <br />Effects reported to Regional Industrial Hy gienist? 0 Yes 0 No io <br />fy <br />Effem--_, reported to supervisor? :2 Yes 0 No <br />77 <br />Page 4 of 4