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TARBALL SAMPLING FORM

Document: F-MM06
Effective Date: 1 April 2025
Revision No.: 02

Please be informed that we have observed the following conditions:

STATE

STATION ID

LOCATION

TARBALL SURVEY LOCATION LONGITUDE & LATITUDE

DATE / TIME

SURVEY FINDING:

Tar Ball



If YES, Tar Ball falls under the Classification of:



*Tick wherever applicable