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EXHIBIT V <br /> FACTORY PCB LEAK WORKSHEET <br /> 1 . LEAK DISCOVERED BY WHOM? <br /> DATE: TIME: <br /> 2. IS IT POSSIBLE THAT ANY PRODUCT CONTAMINATION OCCURRED? <br /> IF YES, CONTINUE. YE5 NO <br /> A. PRODUCT HAS BEEN DIVERTED AND ISOLATED. <br /> B. FLOOR DRAINS HAVE BEEN PLUGGED. <br /> C. PRODUCTS HAVE BEEN SAMPLED AND PROPERLY IDENTIFIED. <br /> D. SAMPLES ARE BEING HELD BY WHOM? <br /> 3. HAS LEAK AREA BEEN BARRICADED AND SIGNS POSTED? <br /> 4. LIST NAMES OF EMPLOYEES WHO CAME INTO CONTACT WITH PCB. <br /> A. EMPLOYEES HAVE BEEN ADVISED TO SCRUB AFFECTED SKIN AREAS WITH <br /> SOAP AND WATER._ <br /> B. CONTAMINATED CLOTHING HAS BEEN COLLECTED. <br /> 5. RECORD THE DATE/TIME THAT FACTORY STAFF WAS NOTIFIED <br /> A. FACTORY MGR. OR ASST. / <br /> B. PLANT ENGINEER OR ASS'T. <br /> C. CHIEF ELECTRICIAN(PCB/CREW) / <br /> D. S.S.S. MANAGER / <br /> E. WAREHOUSING & PACKAGING SUPERVISOR / <br /> 6. PCB CREW ON SCENE AT A.M./P.M. <br /> A. HAS PCB CREW BEEN TRAINED ON SAFETY INSTRUCTIONS? <br /> B. RECORD NAMES OF PCB CREW MEMBERS WORKING ON SPILL: <br /> C. HAVE ALL AFFECTED SURFACES BEEN DECONTAMINATED? <br /> D. LIST SURFACES WHICH WERE CONTAMINATED: <br /> E. HAVE ALL CONTAMINATED ARTICLES BEEN COLLECTED AND STORED IN <br /> PROPER HAZARDOUS WASTF SHIPPING CONTAINERS? <br /> JTT/lm <br />