Bag Label Salt Added at the Table

Salt Sources Study

Att 13A1_Bag Label Salt Added at the Table_01082014

Duplicate Salt Sample Collection

OMB: 0920-0982

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Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

Salt Added at the Table

Ppt ID: Date:

Type of Salt Added: (Circle One)

Regular/ “Study Salt”/ Other:____________

I did not add salt at the table today.

File Type	application/msword
File Title	Avery Dennison Template
Subject	Avery Dennison Template
Author	Avery Dennison Corporation
Last Modified By	CDC User
File Modified	2013-11-15
File Created	2013-11-15

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