Title Page
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Conducted on
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Contractor
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Location
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PIA Number
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Site Title
Information Capture
- Identification
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Chamber or Lead-in
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New or Existing
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Type of Chamber
- JBF2
- JBF4
- JBF6
- JBF10
- M/H
- JRC11
- JRC12
- JRC14
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Open Chamber Image
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Entry Bore
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Exit Bore
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Equipment Location
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Building Name or Location Name
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Building Image
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Lead-in Image