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Date UV quartz sleeve last cleaned Date UV lamp replaced Alarm activation yes or no If yes date of activation Reported by Title NYSDOH Operator Certification Number Signature Date Operator Grade Level DOH-360CUV 01/2005 Page 1 of 2 Microbiological Samples and Free Chlorine Residual Sample Location Date of Type 1.
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The form doh-360cuv - water is a document used for reporting water-related information.
Any entity or organization that deals with water and meets certain criteria may be required to file form doh-360cuv - water.
To fill out form doh-360cuv - water, you need to provide the requested information in the designated fields.
The purpose of form doh-360cuv - water is to collect data and ensure compliance with water-related regulations.
The specific information to be reported on form doh-360cuv - water may vary, but it generally includes details about water usage, quality, and any potential contaminants.
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