IFB 1219 Attachment 4 - Water Treatment Log.pdf

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Attached to
IFB 1219 NYS Certified Water Treatment Operator for Technical Services in Western Region (Reissue)
Solicitation number
2125867
Issued by
Monroe County, Oneida County, Otsego County, Brookhaven CDP, New York

About this file

This document is a Water Treatment Log form from the Office of Children and Family Services (OCFS). The form is designed to track water treatment services, with columns for the date of visit, time of visit, and services provided. The log appears to be a monthly tracking document where a consultant and an OCFS supervisor would record and verify water treatment activities. The form includes spaces for signatures from both the consultant and the OCFS supervisor at the bottom, along with date fields for documentation purposes.

The log is blank and does not contain any specific entries, making it a template for recording water treatment service details. Its purpose seems to be maintaining a systematic record of water treatment visits, services performed, and providing a mechanism for official verification through signatures. The form suggests a structured approach to documenting water treatment services, likely as part of a quality control or regulatory compliance process within the OCFS.

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Text version

Date of Visit Time of Visit Services Provided

Consultant Signature Date OCFS Supervisior Signature Date

WATER TREATMENT LOG Month & Year:

File details come from the government source that posted it. Updated .