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DOH Form 331-496 Fluoridation Monthly Operations Report Form for Sodium Fluoride Saturators - Washington
What Is DOH Form 331-496?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. Check the official instructions before completing and submitting the form.
FAQ
Q: What is the DOH Form 331-496?
A: DOH Form 331-496 is the Fluoridation Monthly Operations Report Form for Sodium Fluoride Saturators in Washington.
Q: Who is required to fill out this form?
A: The operators of sodium fluoride saturators in Washington are required to fill out this form.
Q: What is the purpose of this form?
A: The form is used to report the monthly operations of sodium fluoride saturators and ensure compliance with fluoridation regulations in Washington.
Q: What information is required on this form?
A: The form requires information such as the name and address of the facility, the date and time of operation, the amount of sodium fluoride used, and any maintenance or repair conducted.
Form Details:
- Released on December 1, 2014;
- The latest edition provided by the Washington State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DOH Form 331-496 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 331-496 Fluoridation Monthly Operations Report Form for Sodium Fluoride Saturators - Washington
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