Priority Measures Plan Compliance Certification - Alaska Division Of Environmental Health Page 3

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4. A plan for responding to complete or partial power loss.
Yes
Page
5. A plan for annual staff training in and practicing of, all components of the priority measures plan.
Yes
Page
III. Certification
I submit this Compliance Checklist in accordance with 18 AAC 80.055. I certify under penalty of law that I am the
person authorized to fill out this form and the information contained herein is true, accurate, and complete to the best
of my knowledge and belief.
Owner or Authorized Representative, Signature
Date
Owner or Authorized Representative, Print Name
Last Updated: 06/27/2017
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