AUGUST 10967
OPTIONAL FORM 43
disapprovals, clearances, and similar actions
DATE
INITIALS
SIGNATURE
5041-101-01
264-6487
PHONE
23 Nov 76
DATE
{
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ee
SEE ME
VERSATION
ew eon — |
WOTE and
RETURN
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DATE
INFORMATION
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acTIioN
Do NOT use this form as a RECORD of approvals, concurrences,
FCDNA/FCLS
FROM
REMARKS
Richard 0. Gilbert
Battelle Pacific Northwest Laboratory
Box 999
2Math Building, Room 1201
Richland, Washington 99352
To
Dr.
ROUTING AND TRANSMITTAL SLIP