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` MLi~ SA~'TY AND HFAL71-1 ALI~MSTRATION (h15HA) <br />PRIVAI'Y ACT NGTICE FOR NiII~ OFF~tATQR <br />ItESPIRAffiJE DUST SANIPIFS AND NOISE SURVEYS <br />General <br />The Privacy Act of 1974 (P.L. 93-579) negi»*pG us to give you the following <br />information when we ask you for personal information on your e~loyees. <br />Authori <br />You are required to take and t,-a.,~,,;t respirable dust samples and noise surveys <br />by Sections 202 (a) and 206 of the Federal Coal Mine Health and Safety Act of <br />1969, Public Law 91-173 (Act). <br />Purpose and Use of Information <br />MESA uses these samples to determine compliance with dust. and noise level <br />standards and to prevent pneumxoniosis, silicosis and hearing loss caused by <br />exposure to such occupational health hazards. This data may also be used in <br />crn~bination with medical data to set new health sra~~~, <br />Effects of Nondisclosure <br />Zf you do not give M~ this personal information, you will be subject to <br />appropriate notices, orders and penalties under Section 104, 108 and 109 of the Act. <br />You are required to report the SSN of the miners you sample for respirable dust <br />or survey for noise e~osure wider the authority of Sections 70.260, 70.507, <br />70.508 and 70.509, 30 CFR 70, and Sections 71.111, 71.302, 71.303 and 71.304, <br />30 CFR 71. The SSN is used to identify which miners are overexposed so that <br />action can be taken to protect their health. The failure to provide SSN's with <br />the samples and surveys will subject you to liability under Sections 109, 108 and <br />109 of the Act. , <br />