Form: REC-4_Initial.html,REC-4_Viewer.html
To:
Subject:Form REC-4-Field Team
Msg:
I. TEAM
Jurisdiction:
Team Designation:
Date:
II. STAFF
a. Team Leader
Name:
Organization:
b. Role:
Name:
Organization:
c. Role:
Name:
Organization:
d. Role:
Name:
Organization:
e. Role:
Name:
Organizaton:
SURVEY METER 1
Make:
Model:
Serial:
Detectors
External or D1:
Model:
Serial:
Internal or D2:
Model:
Serial:
Detector 3 (D3):
Model:
Serial:
Detector 4 (D4):
Model:
Serial: var Mtr1-D4_Ser>
SURVEY METER 2
Make:
Model:
Serial:
Detectors
External or D1:
Model:
Serial:
Internal or D2:
Model:
Serial:
Detector 3 (D3):
Model:
Serial:
Detector 4 (D4):
Model:
Serial:
IV. READINGS
Reading 1:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 2:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 3:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 4:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 5:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 6:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 7:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 8:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 9:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 10:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 11:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 12:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 13:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 14:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
Reading 15:
Time:
Location:
Meter/Det:
3ft open:
3ft closed:
3in open:
3in closed:
Remarks:
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