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Page 1: mow. .. ~I--.---- · 2008. 9. 24. · B1ark Boob IF:F/ No. 21 Column 3 < . 4 5 6 6 7 8 10 12 12 Right Units Single Page Porm Quadrille to Divided to Right" Units Double Page Yorm

...mow. .. ~I--.----BNA02403938

I IHDMSPOO1852090

Page 2: mow. .. ~I--.---- · 2008. 9. 24. · B1ark Boob IF:F/ No. 21 Column 3 < . 4 5 6 6 7 8 10 12 12 Right Units Single Page Porm Quadrille to Divided to Right" Units Double Page Yorm

B1arkBoob

IF:F/ No. 2 1Column 3

< . 456678101212

Right Units Single Page Porm

Quadrille

to

Dividedto Right" Units Double Page Yor m

.. 11 14 ad

°< •` no units ad I

old no . 1469Cash - Ledge r

In 150 and 300 Pages

No. 21 - Old No. 41Journal 2 Columns Right Units Single Page FormSingle Ledger UnitsDouble Ledger Units Whole Page FormRecord with IIlarsgin

I

In 150, 200 and 300 Pages

TO REORDER THIS BOOK, SPECIFY NUMBER . RULING ANDTHICKNESS AS INDICATED ON BACKBONE OF BOO K

ABOORUM 4; PEASE PRODUCT

Made in U. S . A.

I IBNA0240393 9

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Page 3: mow. .. ~I--.---- · 2008. 9. 24. · B1ark Boob IF:F/ No. 21 Column 3 < . 4 5 6 6 7 8 10 12 12 Right Units Single Page Porm Quadrille to Divided to Right" Units Double Page Yorm

1Date -_ . . ._.g' rime... :aof~. . .. . .... .. . . . ... . . . . Time Completed

.. . . ._.:~

----- ----- --- ealtth. Phy o rc ~ f Pf ci st ._ . .. . . .. . . f?f. . . ._ .. .•••._ ._.

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Reading }.: r /Hr . . . . . .. . . . . . . . .. . -- .Instrument- Use d41

Job Description. . . ... . -~~-:L=s.~ . .~!7G.L 11^ ~, _

. . . .. . ... . . .. .... . . .. . .. . ...e .. ..--'-- . ..._•• ... . . .._ . . ._ . . . ._.._..._ .. . . ._

Remarks .d x' r a

Date g /z o Time Started--. :.! S.-,,,,•_.,., .-Time -

1£equa~tor _

.. . .- - ------- - -

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Aete..._ . . .. ... . ~. _-___-- . .-. .-Time $tar$ed. .. . ... .__Timeoiapleted . . .. . .. .. . . ....:.~.

Reguastor__., _ ._ Health Physicist . -•- E'~•- - _ .

. .. . . .. . .. . . . ... .... . . . . .. . .. . .. . ..•------------ ---------

Max. Reading Mr/Hr. . .. . . .. . . . . .. . . . . .. .. .. . . ... .•_-.° . . Instrument-Used - : :. ... . . . . . ...... ----

Job Description AP IV _ . . . E~ . . .. . . . . . . . . . . . . . . . . . .. . . . .

~l~~r ~' /~N~•-' ?/Q~%lo e' L1 7 . e~r<`y-; . . . . .- s/?iI E 4 re . . FlRemarks .. . .. : .. . ... . . . .. . .. . .

BNA0240394 0HDMSPOO1852092

Page 4: mow. .. ~I--.---- · 2008. 9. 24. · B1ark Boob IF:F/ No. 21 Column 3 < . 4 5 6 6 7 8 10 12 12 Right Units Single Page Porm Quadrille to Divided to Right" Units Double Page Yorm

4

Date ... . ~ .lJ .. . ... . Time Started . .. . .~t. '. .Ting t`6'& tt f§d . .. ... .... . ... .. . .. .: . .. ..

lll6 . . . t wt7Z . . .. . Health-Physics-t . .. ./ '• !4t' '-

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Max. Reading l° `Hr. . . ._ . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . Instrument Usp3_ . . . . . . . . . . . . .. .. . ... . . . ..------

/ ~/ 1Y~~✓LE G!e /NG (~/L~`/ t~fl /A/ li.Job Des _cr~pt on ., . . . . . eQ- . . . -- --- -~•. . . . . . .. ... . . . .. ...... . . . „~, ., ._ . . . . . . ... . . .. . ..... . . . . . . .. . .. .,., . ...... _ _ - _

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Requestor. . . . . . . . ... . .. . . .. . ..

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Page 6: mow. .. ~I--.---- · 2008. 9. 24. · B1ark Boob IF:F/ No. 21 Column 3 < . 4 5 6 6 7 8 10 12 12 Right Units Single Page Porm Quadrille to Divided to Right" Units Double Page Yorm

Time Started./ S Tame -Corep~ ted `1~ -~ D_.. - - -te

. . :..: ... . . .D

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max. Reed i Mr/Hr. . .. . .. . .. . . . .. . .. . . . . . . .. . .. .... . .. ...Instrument Used. . .. . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .

r. `) De ..crip ;i . ._.. . E1. •Q . .. . .U.e4 Ct .FS . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. .• . . .

C? o .V T rLll ~t! Y o `v

Remarks ... ... . . . . ... . . . . .. .. .. .... . . . .. . .. ... .. ... . . .. .. . . ... .... .. ........... . . . . . ._. . ... ._ . .. . . . .. ... ._. .. .. . .._. . . ._. . . . . . .

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Date ... .. . ... ... ... . .. .. . . . . . . . . . . .. . . .Time Started._ ._ . . . ..,. .._. .. . .. . . .c .Time Completed . .. . .. .... ..

Requester . .. . .. . .: ovv7f°"~ .Health Physicist . ..e

LOCSti9 ~ ~C/lILN¢ ~ H•r - - .

-- -----Max.-Readin.- jr/IIr .: . . .. . . . . .. . . ... . . ... . . . . . . . . . . . . . .: : nstrnment Used . . : . . . .%91'G

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0Date.: / S .4Started :-- -._ ._t'. .4 ,'Time Completed:,// .l. ..:..-..-----•-•---•---. . .. . .. .. .---- -- -.. . . ... .. ... .. ..

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Job Description . .. .. . . . . . ..e~i.C~_ . . . . . . . . .. .5.`%z? . . . ... .. . .. . . . . . . . .. . . . . . . . . .. . . . . .. ...-•---. ._ .__ .---- ••-••--•?e•

. . . . .. .. . .. . .. . ... ...... . .. . . . .. .. . . . . .• .-•--••-•---•-_---••'----•••-- . ••. . .__ . . ... ... ... . .. . . . . :. . . . . . . . .. . . . . .. . . . ._. . . . . .. . . . . . . . .. .... . .. ... ._. ._ ..----

Remarks -- I- d •S'f T agiv *747 ~.G

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fyi.. ~.1. .. . ._ ._ . .. . . . .. .- Health Physi c st. . . . . . .. .:.. .. . .. . ._ .. .

----_ ----Location . .. . ._ . . ... .. .. . . . . . .. _ _ _. .

--- . I strument Used. .} l_. . . . .----Max . Reading Mr/Hr - ----. ..•• ~~•• --- -

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Date. .. . .. ... . . ... . .... .. . ... ._. . .. . .. .Tl me Started.- :. yO'¢W°`~ia~e Eompletec~ . ..,t,, S ° 9

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p ~ddc~-1Q 4 Time Completed. ..- . .Time 5tarted. ..f . :..3_ .

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-- _ --- - -- _ ~~ - -•--- -Time Started ._ .. -- - 10= -Date ~------- -• - ---. .

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Date a_ .._. .T3me_ Started .. . P Time Complete d _ . .

------ o.e v- -----itequestor: .. : . ._ .- .-. . . . .. . . . . . . . . . . . .. .HeaIth Physici t . .---•--•-=--- •

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12 V

Lte..JL:LZ .: _. ._ 1me6 Started. .. ..~. -.. .. .,,_Tfine . Ccempiai

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