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November 19, ibi8 Mr.
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NAME: "KROLOR" y el l o w -med iu m INSTRUCTIONS -PRESSING- RECORD VAT DATE ' i |------------WT% TIME 7 PM RELEASED BY '.* * PRESS ....TT... / 23 ' NO.
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TO: INFORMATION SECTION PLEASE DESTROY ALL OLD FORMS HASKELL LABORATORY TEST SUBSTANCE EVALUATION FORM L Fill out a test substanoe evaluation form as completely as possible for eac)t-test substance submitted ii.
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FEDERAL HAZARDOUS SUBSTANCES LABELING TEST d a t e /S. 2- MATBRIAL <f PHYSICAL APPEARANCE ' __________________ _____-- MR-620 BK.NO. fz^l/ PAGE J/t> H.NO. 33 id T.I.
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