Date of Report:

Name of Person Making Report: (required)

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FAX Number:

eMail Address: (required) If you do not have an email address enter "none"

Operating System: Windows 95a Windows 95 sr2 Windows 95 sr3 Windows 98 Windows 98 sr2 Windows NT4 (Display only)

Log Version: Display Version:

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Please Note the Following: The Symptom: (Whenever possible forward a copy of the suspect data/log to Century by mail, e-mail, or courier.) (If the bug is related to a tool with field configuration questions, please include the responses made to the questions and tool type reported by Log after tool configuration.

What function or action were you performing, or attempting to perform when you encountered the problem?

Is the problem repeatable? By this I mean, can you duplicate the problem, same log, and several logs?

Do you encounter the same problem when attempting the operation on several different logs, or is the problem limited to a single log or tool type?

NOTE: To create a copy for your records please print this form after you submit it.

Phone: 918-838-9811 Fax: 918-838-1532	Century Geophysical Corp. 1223 S. 71st E. Ave Tulsa Oklahoma, 74112	sales@century-geo.com www.century-geo.com