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Water Temperature
Name of the Facility
Water temperature time:
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Watdater temperature date:
Facility street Address
Facility city
Facility Postal / Zip code
Facility Region/State/Province
Country
Country
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Names of members living at this address:
First Name of person conducting the water temperature:
Middle Name of person conducting the water temperature:
Last Name of person conducting the water temperature:
Simulated Water Teperature
Please enter water temperature in °F /°C
Please sign here:
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