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PRINTED: 03/03/2010 FORM APPROVED Bureau of Health Care Quality and Compliance STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION

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What is building x3 date survey?

The building x3 date survey is a form that gathers information about the construction date of a building.

Who is required to file building x3 date survey?

Property owners or managers are required to file the building x3 date survey.

How to fill out building x3 date survey?

To fill out the building x3 date survey, you need to provide the relevant information about the construction date of the building.

What is the purpose of building x3 date survey?

The purpose of the building x3 date survey is to have accurate records of the construction dates of buildings for various regulatory and administrative purposes.

What information must be reported on building x3 date survey?

The building x3 date survey requires the reporting of the construction date of the building, along with any additional details or documentation that may be required.

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