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# DLA Official Forms

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| Form Number:  DLA1861                                                                                  |
|--------------------------------------------------------------------------------------------------------|
| Form Title:  DLA Child and Youth Program Environmental Health Sanitation Inspection                    |
| Form Version:  Aug 2018                                                                                |
| Status:  Active                                                                                        |
| Functional Area:  Installation Management                                                              |
| Opr:  DM                                                                                               |
| Safeguards:  none                                                                                      |
| Electronic:  Yes                                                                                       |
| Form Link:  Documents/FormsSite/forms/DL1861.pdf                                                       |
| Type:  Primary                                                                                         |
| Prescribed:  DLAI 1015.02                                                                              |
| Description:  This form will be used to assist local sites with monthly and Comprehensive Inspections. |
| Records Retention:  7304.3.02 Child Care Operations - Reports. Destroy after 3 years                   |
| Form Audience:                                                                                         |

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