1 Experimental Equipment Identification Number: Experiment Title: WM Project Reference Code: R&D Project Supervisor: _ R&D Sector Office: I Testing Agent's Name: Next of Kin: Witnesses to Equipment Test: R&D Experimental Equipment Testing Report Form Distributed by the Ofice of Information Collection and the Otice of Forms and Vouchers, PLC For Official Use Only Titles/OFfices: Rating R-8M8 Est. Please describe, in detail, the test of the equipment, listing the nature, situation, environ- ment, controls, and reactions of all tests per- formed on the equipment while in the testing agent's possession. 1 Description of Experimental Equipment: 1 Was the equipment damaged in any way before, during, or after the test? If so, how? —___ 1M Di the experimental equipment perform as described? If not, what problems did you have with the equipment? TYes TNO 1 Were the instructions included with the equipment adequate? If ‘not, what other methods of crowd control can you think of? DYes CN 1m Was the equipment damaged in any way before, during, or after the test? if so, in what way? DYes No 1 Please list any and all instances in which the equipment was handled by any citizen other than the authorized testing agent listed above. 1m What do you think of the new taste of Bouncy Bubble Bev- ‘erage? Are there any other Commissary products that you think need improving? Please put your answers in the box provided below: For Official Use Only 3} 3121 ol2 8/8) 5/313 PostTesing Resutant | €| £/2| Ele Personnel Disposition _J&/S)£|8)2| rer 8D Supervisor Chief Engineer, Production Supervisor ‘Testing Agent 1 Do you have any complaints with the way that this equipment was designed? OYes ONo if there were flaws or problems in the equipment, who do you think is responsible? © The Computer © The Testing Agent [ Hygiene Oficer Sponsoring High Programer Form 120-9-4528.20-A15 Filing Agent Date of Processing IntSec Approval © The R&D Supervisor Communists ) Other R&D Personnel © Other Present yallon Copan © 987 Wes na Games, ne Pare #1200245 py de-rielingolicer Send yellow copy oZIN Secor: Deparment ol Experimental Equipment Evaluation. Maina yellow copy for your own records