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Dive No.___________     Date/Time In:	__________________	
					
Location (site):__________________________________________	
					
Max DEPTH:__________	Avg. DEPTH:_______________________
										
PSI Begin: ________ END:__________________ Used:__________	
					
Bottom TIME:________	 Safety Stop:_____________________	
					
Total Cumulative Time to date:			
					
Visibility 	________	Wts:	________				
TEMP Air	________	Water:	________	
	
Equipment:________________________________________________
					
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Verification Signature & Cert. No. _______________________
					
					
Comments (: 
									
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