$ Si, wesenr 82. waeent S32. COLon waa $4. colon ves BS. ovis. 6. TawraeaTusE Di erence CO asowe a7. . Bicoe peaspune (arm of hawt lend) a. Orrin oe. ava. s arcueaunt pias. ave. S ous. 8. c. OTAMeiNG (8 an.) DISTART vision ava. 2 weave () cocee ust Siem of heort inet) & orrtme ©. AFTER CKEBCIOR C. 8 en. AFTER ©. aEcumsery oan. #0. @ermaction at, a. avran Standing ® mie. Mtae Vision wiewt Bey ona, to s0/ er 8. gt oan. to by urrr ees cout. to se/ or 6. ox eoan. to ad 2. weTtecPHORA (Spenify distenese) ue* #3. at aa. actoumopation fient ext wy Lsrr wy . eulee pr. Parise conv. er « 6, Re sereten $7. wont vision (Test used end enera) G6. aes Lens vest‘ ta | oucoacctso ae conmectao 66. FIELD OF visION To. _* 64. coven vision (Test uscd and reek) TI . WEARING #18 BV g30 eee #8 #10 ov ne AvSIONTTER vale geo ie se00 308% 2000 8068 @0. wnTAAccULAS TaRnsiDn 72. os: egrcnocosica: DLOSICAL and PercNomOTOR saeco G806 sece 00d seve Ofd4 seec 8188 aent un 7a. notis (Conbawad) and s16nICARt G8 INTERVAL HISTOR: Using ‘Dbeta-gama survey meter MI-5 , background reading .03-.06 ur/br. Wo radioactive contamination found. 74, SUMMARY OF DEFECTS AND ts (net diag (Uer edditional chasis if nanmesry) wth tion > 75. RECOMMENDATIONS—FUNTHER SPECIALIST CRAMIRATIONS IaDICATEO (Spey) 76, A. PHYSICAL PROFILE * v L « t s YT. axaminna (Check) a Dus euaririne von a. D ts wor euauiries von B. PRYEICAL CATEGORY 7B. OF WOT QUALIFIES. L287 BISGUALIFYING DEFECTS ay Ke mUNeER a 78. TYPED OF PRINTED RAME OF PHYSICIAN OreNATUAE 80. TYPED Of PRINTED BaGE OF PHTBICIAN SON ATURE Ol. TYPED OF PRINTED MAME OF BENTIST OF PuYeician (iadients enbsch) SienaTuRt 02. THPTO OF PRINTED NAME OF REVIEWING OFFICER O8 APPROVING AUTHORITY enatuRe CARL, L. HANSEN, Lt Ccl,USAF,M.?S e e t NUMBER OF ATTACHEO GHEETS *U. @. GOVERNMENT PRINTING OFFICE: 1007 O-a82R80 BEST AVAILABLE Copy