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Ple been collected for bacteriological analysis (after analysis, attach a copy of the results)? This space left Blank Other (specify): Yes No N/A Yes No N/A Yes No N/A Yes No N/A Yes No N/A Yes No N/A Upload signed Inspection Report to the Survey in DOEHRS-IH EHM per MEDCOM Policy 14-063 and then mark the Survey COMPLETED; v.Jan 2015 DOEHRS -- NATURAL BATHING AREAS SANITATION REPORT Facility Date Page 2 of See TB MED 575 11. OVERALL REMARKS (describe individual It.

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