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EFTA00054963_sub_001 - EFTA00054963_100
mments on reverse side must Include date. signa we, and title. OIC Signature: CIC must sign all record sheets each shift. (OIC - Unit Officer) POF Presalbed by P5270 This form replaces BP-292(52) dated AUG 2011. EFTA00054983 Day shit commenS- 07-30-2019 Health Voices no medical wnplsim. 07.31.2019
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