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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G78608/25/2015FORM
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Fed Inspect Wash CTR06PDF is a form used for reporting inspections and wash activities related to federal regulations.
Organizations and individuals involved in activities that require inspections and are subject to federal regulations must file this form.
To fill out the form, provide detailed information regarding the inspection and wash activities, including dates, locations, and compliance status.
The purpose of the form is to ensure compliance with federal inspection standards and to maintain proper documentation of wash activities.
Information such as the date of inspection, type of wash performed, location, and any compliance issues must be reported.
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