FOR OFFIGIAL USE ONLY
BRivACYACT MATERIAL REMOVED
tare
yom TAL
Re
Saw TIELE:
FILTER RECOVERY DATA COLLECTION SHEET
SHOT TIME: :;
aad !
TAKE OF
allun
CHECK TIME:
A/C + SAMPLE
NEAGING
A
'
2
3
a
5
‘
7
8
ea
A
eae
c
o
FISSIONS
£
F
o710
7.0
150"
Bo
196 14
0713.
22
153"
eOx10 g
96p¢_
__lo721,
b.2
26)"
17.610 z
Los
0725
3
165"
1
jexLO
nos Le
0738
4.9
178"
20x10
Los 14
O7h0
0.2
1808
6.0
Bée
0753
323
bkLa
L.tr10
15
keate)
“LoS Re
3
14
21x10
16
15
O787
1.0
197"
12, 10
°
500
R?
ofol
2.0
201,"
+. 9x10
"
teoo Bh
tops
io
206"
|S.4x10
3.2
210"
—«18,.Gx10
NOTES:
,
JA
.
G
2
lok 4
So.
REPRESENTATIVE
16
Lo6 Yd
*
12
AGENCY
is
1s
15
$759
U.C.B.L.
ANE SWS
Form
MAY 67
Pana,Sanborn,
0-463
FOR OFFICIAL USE iM ly
PAGE
OF ——~—-PAZES.
wt
(AFR 199-15)
PRIVACY ACT MATERIALREMOVED