IFB 1227 Attachment 4 - Water Treatment Log.pdf

This is a Water Treatment Log form used by the Office of Children and Family Services (OCFS) to document consultant visits and services provided. The form is designed to track service delivery activities on a monthly basis, with columns for recording the date of visit, time of visit, and a description of services provided. Multiple visit entries can be recorded within a single month, allowing for comprehensive documentation of ongoing water treatment consultation and monitoring activities.

The form requires sign-off from both the consultant providing the services and an OCFS supervisor, with corresponding date fields for each signature. This dual-signature requirement ensures accountability and verification of the documented services. The log serves as an official record for tracking consultant activities related to water treatment operations and compliance, with spaces for up to ten or more individual visit entries per month depending on service volume.