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Contact / Locations
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Paseo Westpark Pool Monitor
Officer's Name
(Required)
First
Last
Shift Date
(Required)
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
Location
Santa Clara
1:00 PM
(Required)
# of people in pool area
Any violations/issues?
2:00 PM
(Required)
# of people in pool area
Any violations/issues?
3:00 PM
(Required)
# of people in pool area
Any violations/issues?
4:00 PM
(Required)
# of people in pool area
Any violations/issues?
5:00 PM
(Required)
# of people in pool area
Any violations/issues?
6:00 PM
(Required)
# of people in pool area
Any violations/issues?
7:00 PM
(Required)
# of people in pool area
Any violations/issues?
Santa Cruz
1:00 PM
(Required)
# of people in pool area
Any violations/issues?
2:00 PM
(Required)
# of people in pool area
Any violations/issues?
3:00 PM
(Required)
# of people in pool area
Any violations/issues?
4:00 PM
(Required)
# of people in pool area
Any violations/issues?
5:00 PM
(Required)
# of people in pool area
Any violations/issues?
6:00 PM
(Required)
# of people in pool area
Any violations/issues?
7:00 PM
(Required)
# of people in pool area
Any violations/issues?
Notes
Photos
Email
(Required)
Enter Email
Confirm Email
Enter your email address for a confirmation email receipt of your submission.
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