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century research corporation

4113 Lee Highway Arlington, Virginia 22207

703 - 527-5373

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Approved

century research corporation

4113 Lee Highway Arlington, Virginia 22207

703 - 527-5373

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ASSURANCE OF CONFIDENTIALITY

All information provided will be accorded confidential treatment and will be used for statistical purposes only; the statistics will be presented in such a manner that no individual

person or facility can be identified.

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By one camping director during the summer season?

By more than one camping director during the summer season?

HSM-750-1 Page 1) 6-73

(Continued on Page 2)

OMB NO. 68-573043
Approval Expires January 1974

37-569 - 74 - 26

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TRANSPORTATION

3. INDICATE LICENSES AND CAMP QUALIFICATIONS REQUIRED OF CAMP VEHICLE OPERATORS

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MEDICAL AND EMERGENCY FACILITIES

EMERGENCY TRANSPORTATION AVAILABLE (Check all that apply) A. CAMP OWNED

ON CALL ON PREMISES B. 53 54

55 NONE

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0 CAR

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NONE
COMMERCIAL AMBULANCE
MILITARY
FUNERAL HOME
HOSPITAL AMBULANCE

STATION WAGON OTHER (apecity)

5

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