Facility BEACH CHARACTERISTICS Supervision Level / station Other / Facility Site Address Telephone Prepared By Title Signature Date New York State Sanitary Code / /
IndustryTerm
ocean surf beach operator / flotation devices / /
NaturalFeature
Bathing Beaches / Homeowner beaches / /
Organization
Campground Temporary / Regional Emergency Medical Services Council / state emergency medical services council / NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Community Environmental Health and Food Proctection Bathing Beach Safety Plan Name of Facility Site Address Telephone Prepared By Title Signature Date New York State Sanitary Code / /