N.M. Admin. Code § 9.4.7.28

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Current through Register Vol. 35, No. 17, September 10, 2024

Section 9.4.7.28 - APPENDIX 17: COMMISSION FOR THE BLIND BUSINESS ENTERPRISE PROGRAM

FACILITY VISIT SUMMARY

Location__________________________________ Date__________________

Licensed Manager's Name_____________________________________________________________________

Purpose of Visit:______________________________________________________________________________

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Licensed Manager's Comments:__________________________________________________________________

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Recommendations:____________________________________________________________________________

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____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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Time and Length of Visit:_______________________________________________________________________

Licensed Manager's Signature____________________________________________________________________

BEP Staff Signature____________________________________________________________________________

Distribution: White-Manager, Yellow-BEP Staff, Pink-Facility File

N.M. Admin. Code § 9.4.7.28

4/15/97; Recompiled 10/01/01