Date Finish Description & Person How The Smoke Time Time Comments on Recording Affected You AM/PM AM/PM Details I certify that the record above is true and accurate and understand it may be used in evidence in any legal proceedings. Name: Signed:……………………………………………. ………………………………………………
Date Time AM/PM Finish Time AM/PM Description & Comments on Person Recording Details How The Smoke Affected You I certify that the record above is true and accurate and understand it may be used in evidence in any legal proceedings. Name: ……………………………………………… Signed:…………………………………………….
smoke-diary.docx