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Machine-read from the scan, so expect some errors. Lines that couldn’t be read are left out.
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now LONG WAVE, HOW MANY OL Al OF WATER DO ' HOW MANY TIMES HOW MANY TIMCI WHERE DO YOUR ORO CE RY now MANY TIMES SPEC IF ~ LDLOC PAYROLL NO. AND SUPPIX mLoa. AREA C OF DRINK INC WATER IN YOUR HOME? Of MILK DO YOU DRINK PER DAW ? ma vau ORINK CLR OAVT YEAR DO YOU CAT THC COL LOW IN QO A ML DIRDST FARDo YOU CAT ANY oc Tnc COLLOWINS clan CAUGHT COLUM DIA RIVER YAKIMA RIVER CAT CM LOCATION CRAP C IL FROZEN
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WOW MANY TlUC¶ A YEAR DO YOU CAT ANI OC TWE COLL WINO CPHC AU QU TAT THC UN KNOW NRINMLD TO RICNUYO I nitnuno m ~ cNAR ~ WOW MANY U ON TW SON TWE AVERAGE WERE TWC CISH
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CANN CO OYSTERS LODSTCR 0 LOCAL CARUS (LOCATIO WWCRCTI now Y ANY Tiw mAY CAR DO YOU CAT rnc COLLOWINQ QAYC DIRDST DUCK OU AIL CHUKKA R
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Date of Incide Weight: Height : Sex; (Average, Below o r Above Average, Nse) t: Place of Incident:
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Date of Incident: (Average, Below o r Above Average, None) Place of Incident: Pa poll No.: Age : Height: Sex; Coubting Time: { Energy Calibrztion: Crystal: Hv:
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now MANY GLA: OC WATCR DO WUAT IS TnL SOL WU CREDO YOUR OR OC CRY WOW MANY TIMES now MANY TIML ~ IGMT I SEX I RACE 1 OC'CUCATION fl EMPLOY CD BY HOW MANY GLASSES CO CCCC AND / OR TEA OC MILK DO YOU ? & & & f d7,. DO YOU DRINK PCR DAY ? DRINK PER DAYT TAIN YOUR MCAT ? YCAR DO YOU CAT rnc FOLLOWING OAMC Binow ' P/?LLA OU AIL CU UK KAR ,YCAR DO YOU CAT ANY oc rnc COLLOWINO cisn C AU GUT AT TUE COLUMBIA RI VCR YAKIMA RI VCR CAT CU LOCATION RINOOLD TO RICMLAND RICMLANO 10 YC NARY UNKNOWN now MANY MONTHS ON Tnc PRESERVED BEFORE EAT IN CT
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LM CLOY COB YRACE OCCUPATION WOW MAU YO LA1 ORI UK PL ROA WWAT IS Tnr sou CSO FOR IN KING WATER IN YOUR UOMC? ou C OF FEC AND / OR TEA OF MILK 00 YOU