Health Service Support in a Nuclear, Biological, and Chemical Environment / Tactics, Techniques, and Procedures

by United States. Department of the Army

C. WIND: LIGHT___ HEAVY___ GUSTY___ NONE___

D. ODOR: SWEET___ FRUITY___ PEPPER___ FLOWER___ IRRITATING___ CHANGING___ NONE___ OTHER_____

E. TEMPERATURE AT TIME OF ATTACK:_____ TEMPERATURE AT TIME OF SAMPLE COLLECTION:_____

8. COMMENTS: _____________________________________________________________ _____________________________________________________________

9. ATTACK: DATE/TIME________ METHOD: ARTILLERY___ ROCKET___ AIRCRAFT___ MORTAR___ RPG/GRENADE___ OTHER, DESCRIBE:______________________________

A. EXPLOSION: AIR_________ (HEIGHT)_________ GROUND___________ SIZE_______ DISTANCE_________ DESCRIBE:____________________

B. CONSISTENCY: SMOKE___ MIST___ DUST___ RAIN___ GEL___ INVISIBLE, DESCRIBE:_______

10. ENVIRONMENTAL SAMPLE: SOIL___ WATER___ VEGETATION___ AIR___ OTHER___

11. BIOMED SPECIMEN: ACUTE___ CONVALESCENT___ EXPOSED___ NOT ILL___ POSTMORTEM___ CONTROL, EXPLAIN:___________________ BLOOD___ LIVER___ LUNG___ SPLEEN___ BRAIN___ SKIN___ KIDNEY___ URINE___ OTHER, DESCRIBE:_________________________

12. COMMENTS: _________________________________________________________