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SITE HAZARD ASSESSMENT WORKSHEET 1 Summary Scoresheet SITE INFORMATION: Name: Evergreen Sportsmen Club Address: 12736 Marksman Road SW, Olympia, WA 98512 Section/Township/Range: S04/T16N/S04 Latitude/Longitude:

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The name of this club is Evergreen Sportsmens Club.

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The information that must be reported on the name of Evergreen Sportsmens Club includes the full name of the club, contact information, and any changes in club officials.

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