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September 23, 2008    DOL Home > Find It! By Form > DOL Form   

DOL Form 4000-9

View MSHA's Form 1219-0003 Online htm
Agency: MSHA
Title: Record of Individual Exposure to Radon Daughters
Form Description: Operators are required to maintain accurate records of employee exposures to potentially toxic materials or harmful physical agents. Data submitted to MSHA on Form 4000-9 establishes a means by which MSHA can: assure compliance with underground radiation standards; form a database for epidemiological studies; and provide information of cumulative radon exposures.
OMB Control Number: 1219-0003
OMB Expiration Date: Monday, December 31, 2007

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