a ~ s Ne¥. FORM 107 «+ (9-10-51) : . t DATA SHEET STATION CITY _STATE TAKEN BY Start Sample -— Date Hour Time Zone End Sample Hour Time Zone - Date Wind Direction Velocity Weather Conditions C7? Precipitation Estimated Volume Collected pints Estimated Rainfall inches Duration, from to (__) Settled Dust on Tray [3 Settled Dust on Gummed Paper (““)] Airborne Dust Sampling Rate, start finish rt°/min. General Remarks Counting Data: Time of Counting - Date Hour.t“(‘ClTime «Zone Total Count min, Counting Period Gross Rate c/m Background c/m Net Rate c/m Results d/m/sample c/d Efficiency Factor d/m (unit) Final Extrapolated Value (unit) Time Zone Extrapolated to - Date eet Fomeac ple) “] DOE ARCHIVES 4 cee ES tee ne ae