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 UNCLASSIFIED
 03 	04	 021600Z 	MAR 	91	 PP PP 	UUUU	SG-008

 NO

 4. SAMPLES ARE TO BE PRESERVED IN METHIOLATE-IODINE-FORMALIN (MIF).

 IF YOU DO NOT HAVE OR CANNOT MAKE THIS MIXTURE YOU MAY USE

 10% FORMALIN, REQUESTS SHOULD BE FOR OVA, CYSTS, PARASITES WITH

 EMPHASIS ON E.HISTOLYTICA. SAMPLES ARE BEING TO BE SHIPPED TO THE

 [(b)(2)]
 
 5. LABORATORY PERSONNEL ASKED THAT THE FOLLOWING 15 QUESTIONS
 
 BE INTO A QUESTIONNAIRE. THE ANSWERS WILL BE  ANALYZED BY
 
 COMPUTER SO PLEASE FOLLOW THEIR FORMAT. EACH PERSON WILL COMPLETE
0
 THE QUESTIONNAIRE WHICH WILL THEN BE ATTACHED TO THEIR SAMPLE.
 
 DESERT SHIELD/STORM DIARRHEA SURVEY . 		
								DATE
 
 1. 	YOUR NAME:
 
	 SSAN:
 
	 UNIT AND LOCATION (INCLUDE COUNTRY):
 
 	WHAT CAMPS/BASES HAVE YOU LIVED IN?
 
	 2. YOUR AGE:
 
 	3. YOUR RANK:
 
	 4. CURRENT JOB IN OPERATION DESERT SHIELD/STORM :

	 5. HOW ANY DAYS HAVE YOU BEEN IN COUNTRY?

 	6. HOW ANY SEPARATE TIMES HAVE YOU HAD DIARRHEA SINCE COMING TO
 
 
 
 WILLIAM WEILAND,[LTC
 SGPM ,  [(b)(2)]
 [(b)(6)]
 WILLIAM WETLAND, LTC, SGPM,  630
 CRC:
			UNCLASSIFIED		021600ZMAR9I
 

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