HomeMy WebLinkAboutMisc Correspondence 37 John Fitch Boulev 4�wN 8f'
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1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
TELEPHONE (860) 644-2511
January 23, 2004
Alice A. Formeister, M.A.
Program Director
Community Solutions, Inc.
South Windsor Safe Home
37 John Fitch Boulevard
South Windsor, CT 06074
Dear Ms. Formeister:
At your request, this Department on January 22, 2004 conducted a survey of
Community Solutions Safe House at 37 John Fitch Boulevard, South Windsor.
Although there are no State Health Department regulatory guidelines, all aspects of the
facility appeared to be in good condition. No hazardous or unsanitary conditions were
observed.
Very truly yours,
lat'5(9evtlf�l
Robert Deptula, R. S.
Environmental Health Officer
RD/cm
Post-it®Fax Note 7671
Date ', 3,0 pages
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Co./Dept. p
Phone#
Phone#
Fax# I
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Town 0icsoujA ?&&4't
0 i640 SULLIVAN AVENUE - SOUTH WINDSOR, CONN. 06074
��No�pR Cow AREA CODE;.86o t.644-251 f
'j-aA,- 2 1 2a
No , 2001
Alice A. Formeister, M.A.
Program Director
Community Solutions, Inc.
South Windsor Safe Home
/.w h
ji john Fitch oouievard
South Windsor, CT 06074
Dear Ms. Formelster; � 2 Z 7-'C'°tee
At your request, this Department on Nevea*er-2;2001 conducted a survey of
Community Solutions Safe House at 37 John Fitch Boulevard, South Windsor. '
Although there are no State Health Department_regulatory guidelines, all aspects of the
facility appeared to be in good condition. No hazardous or unsanitary conditions were
observed.
Very truly yours,
4'w' a#Aja-
Robert Deptula, R. S.
Environmental Health Officer
RD/cm
Post-It"'brand fax transmittal memo 7M #ot pages.
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Co. Co.
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Dept,- Phone N
Fnx A �,c Fax
01/23/2004 FRI 12:02 FAX 860 644 7280 South Windsor Town Hall 2001
*********************
*** FAX TX REPORT ***
*********************
TRANSMISSION OK
JOB NO. 0973
DESTINATION ADDRESS 92893298
PSWD/SUBADDRESS
DESTINATION ID
ST. TIME 01/23 12:01
USAGE T 00' 32
PGS. 1
RESULT OK
�4pWN sf4
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" �,,y • �,��� 1540 SULLIVAN AVENUE•SOUTH WINDSOR,CT 06074
�SOR'C0� TELEPHONE(860)644-2511
January 23, 2004
Alice A. P'ormeister, M.A.
Program Director '
Community Solutions, Inc.
South Windsor Safe Home
37 John Fitch Boulevard
South Windsor, CT 06074
F
Dear Ms, Formelster:
At your request, this Department on January 22, 2004 conducted a survey of
Community Solutions Safe House at 37 John Fitch Boulevard,South Windsor.
Although there are no State Health Department regulatory guidelines, all aspects of the
facility appeared to be In good condition. No hazardous or unsanitary conditions were
observed.
Very truly yours,
Robert Deptula, R. S.
Environmental Health Officer
RD/cm
r
11/29/1999 13:17 860-242-7535 CSI BLOOMFIELD PAGE 01
v s
Comm* nitYSolutions, Inc.
.
FAX COVER SWEET
lLZ7s
BLOOMFIEL RESIDENTIAL TREATMENT CENTER
1095 Blue Hills Ayenue
Bl �omfield, Connecticut 06002
`hone (. 60) 242�-7544 4, Fax (860) 242-7535
To;
Compalny: -'
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From: `
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Date: ,
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Re:
Pagee: # 2,, 111 cludir cover sheet
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CONFIDEN'nALITY NOMCE:
The document accompanying this fax tranarrilasion contains information which Is confidential,and legally privileged. This information is
Intended only for the use of the individual or I ntltv named on this transmission sheet, If you are not this intsndad recipient,you are hereby
netttlod shot d1colocing,copying,distributing, king$,ny action In railanec on thG contents of this fax information]s strictly prohibitQrf,and that
the document should be returned to the CSI mediately. Further,If you have received this fax in error,please telephone us immediately,so
that we oan arranged for the return of the do ments to us at no Cost to you.
11/29/1999 13:17 860-242-7535 CSI BLOOMFIELD PAGE 02
1kAL I ki IN SkW.;A W1 E ltr, tt a�lV 11AL
CE1i.'1' ICAnON FACILITIES
DCF424 C(4l94)
STATE OF CONNECTICUT
DEPL i6TMENT OF CIELDREN AND FAMES
D1IIS N OF LICENSINGIQUAL11y ASSURANCE
505 dean Staree4 Hartford,Connecdcut 06106
(20 5g0•Cr4E31 Cflt 14004W2-6346
Facility N=e:
Address:
INSTR.UC"I'IONSt In the space provide below,please draw a floor plan of a building used by this facility for sleeping
purposes for ohildren undor 18. A.ttaoh s a to shoots for all additional buildings'uscd for sloopingpurpom,
I have identified the rooms used for sleep purposes,and included the maximum number of people sleeping in each roam,
and ago of children iu each bedroom.
Signature ofExeciftive Director Date
The above floor plan has been reviewed d the zxmaximum number of beds for children in each area,meets with achy approval.
The maxim.tu n capacity for sleeping p ses by floor is:
l e 2nd. _. 3rd:
LEASE C011'D"LETE SECOND PAGE
11/29!1999 13.17 858-242-7535 CSI BLOOMFIELD PACE 03
nrF..424C(Page 2.of 2)
WATER SUPPLY
1.Description of drinking water so 4rce: Public --Well Type
TYPES OF WELLS. I-10illed 2-Driven 3-Aug 4-Spring
2.klas supply been analyzed and f und safe? If so,When?
SEWAGE DISPOSAL
1.Private on-site septic system._ �-- Public Sewers
2.Functioning properly
TOILET FACIM l
1.Number of to-Mts for females for males Urinals_
2.Toilets clean.....---.---___-- --- j k good workiug order _in good repair
3.Adequate lighting_,__ventUation Screening _
SLEEI'L G QUA.R'I'ERS
1.Is distance between beds props (3 ft.For single,4112 for double deck beds)?
Check for cleanliness:wails_ floor. ._..- mattresses bedding_...-... . .
IGT CD .N AND DEgN G ROOM
1.Are dishes,silverware,etc.In g d condition and clean?
2.Is there sufficient but water av able for washing cliches? - -
3.Chock for clean Wess:floors walls tables tables counters �sittks,,�,
4.Is refrigerator clean`? _ Is tool adequately refrigerated`? _ —
5.Is food protected from dust? flies? . -- - vermin?
C Is kitchen screened? Is dining room screcned?
7.Are covered containers provid for garbage? __
8.Are food preparation&serving eas in compliance with Health Deparhttent requirements?
GENERAL
3.Are all stairways free from obst uction?_
2.Is the building apparently in 904 d repair?
3.Are surrounding grounds kept c ean? ----
4.Is housekeeping satisfactory?
5.Are floor coverings safe and cl ?
TMIS F IIaITY HAS BEEN INSPECTED BY ME AND
[ 3 DOES ( )DOES NOT
ha T ALL APPLICABLE HEALTH CODES
HEALTH INSPECTOR(Print or type
Signatetre; �
Comments and Reconinir,adatima;(usc sa vita shuxt if ncctssary)
I�
1,
ii
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i
11/29/1999 13: 17 868-242-7535 CSI BLOOMFIELD PAGE 04
` aCF-482
DE ARTMENT OF CHILDREN AND FAMILIES
Rev. 1/!q5 565 HUDSON STREET
HARTFORD, CONNECTICUT 06106
¢�:j,e,�•a*:•y:;1•;a:.:.a::«..;r.;::.,,x �,j ,.:..:.<7..!:::yya�su�.>.g:ae.rs::�s».::.>:, 't'?°�aRy':;y�.y,. %�..,i�,y�.,,,,, �r ...y,. .
... MOW
N-,!Zom
Name/Address of Legal D poration
Phone
Name/Address cif Facilitgr-
Phone
Name of CT
e' Title
Phone
Narno of CortsPhone
Sub-PrograCurrent Licensed Bed Opacity
Residential
Number of Children Currently
Residential Education in Residence
Group Home Number of Children from out-
Temporary Shelter of-State
Other( Please Explain ) DCF License Number
License from Another
Gate of Fire Inspection DT State Agency ( Type )
Gate of Health inspection DGF Vendor Number
License Renewal Date;
'Inspection Date(s)
Lead Inspector:
Inspector:
Inspector:
:
11/29/1999 13:17 660-242--7535 CSI BLOOMFIELD PAGE 05
16. If"no", is this allowed c nly witil the written approval of a physician Page 13
and the agreement of esignated staff that this practice would not
be a risk for other chit en in residence? YES /NO
17. Does the facility ensur that residents, in the event of sickness,
have an area which is .0111fol'table, safe; and allows appropriate
privacy' YES !NO
18. Is a tr:lpphnns with po ed emergency medical and poison
information numbers a ailable in all health care areas? YES /NO
Comments:
'i 7a-145-76: Kitchens, uipment, and Food Handling
1. Aiu kitchens:
a. Clean?
YES I NO
b. Well lighted? YES/ No
o. Properly ventilatf d and scrthened? Yr-O /NO
d. Provided with es ential and proper equipment for the
preparation and 1 erving of food? YES/ NO
2. Are storage, refrigaratin apd freezer facilities adoquate for the
number of persons to b served? YES I NO
3. Are all perishable foods efrigerated at a temperature at or below
45 degrees Fahrenheit? YES I NO
4. Are freezers and frozen lo od compartments maintained at minus
10 degrees to b degree ahrenheit?
YES/ h1+J
b. Are cooking utensils, dis les, and tableware in goad condition? YES/ No
5. Are proper cleaning faci ies for this equipment provided?
YES 1 NU
7. Are dishes stored in a cl an, dry place and protected from flies,
dust or other contaminat n?
YES I No
11/29/1999 13:17 860-242-7535 C5I BLOOMFIELD PAGE 06
8, Do food preparation aid serving areas comply with applicable page 14
health cedes? YES!No
g. Are food preparers tra ned in propor food handling techniques? YES /NO
10. Are proper food handli ig techniques and sanitation maintained to
minimize the spread o food-borne diseases? YE,! NO
Qants:
1fia-145-77: Dining Are and Supervision
1. Are dining areas.
a. Clean and attra tive? YES I No
b. Well lighted? YES / NO
c. Properly ventila d and screened? YES / NO
d. Large enough t 'accommodate the children and staff
respurisible for upervlsion? YES / NO
2. Is staff supervision at r ieals adequate to ensure a safe and
comfortable atmosphei a for eating? YES !NO
OcrnrTients:.
17a-'1�1_78: Recreation i Faciiitics
1. Are indoor and outdoor recreational facilities, supplies, and
equipment provided to nd used by the children? YES / NO
2. Are appropriate safety ensures, instructions an supervision
provided to protoot chip ren frurn bodily harm? YES! NO
11/29/1999 13:17 660-242-7535 CSI BLCSMFIELD PAGE 07
ii(iJ( iLJJJ v�..tt cuaylay ADAPT
PAGE: 01/01
I�
REOt_TfJA'l TONS OF Tm I,ONN��'�'1G[TT f)Tk°ART MEAIT ��CI�.Dl1EN Al'��'�ll4�[LI>�5
(h) A wlepl aom%ft posed �. gency medical sand poison if s numbas sly be avallable in all
health care areas.
w r,1"4)
i
Saedm 1'7a-14&76. tgWpmcnt,l'�-hantl*
i
Al kitulmis Owl be Lkm, 1' L°glitrrl.;piqct'ly vr11e11aatcxll aura wuroramd,quid pwyWtxl with t%smtW aad
Proper for the ttorl and se�vir of 1Ftaod Storage, rzigeratian and fta fa,c
sl iair be attenuate for the not of persons to be serval. Ail perishable foods Mao be m rWated at a
t `attn at or below 45" Freezm ash fzxrm food con p�rtzne is shall be uxiaintainnd at
,rrwartts 1(r to W Faklret)hek_ ;� utm&, dWm and tableware shall be in good con tion anal
proper'cteansng fgcihtm for egtalpx SW be i roviid%L dishes shall be stared in a clean,dty place
pry f n flies,dust or contamartarion. Food prgmraUc)n anti sews areas aball ct►r Vy with
Section 19-13-B42 of the p 1ic health code, Proper food handling taclmigm and sendmtkm to
&possibiiity cf the of food-bane disuses slt&U be txaio rained.
QFfiw ive Febowy 1.1W)
Section 17a.145-77. Uutifinig EW sopervivion
During arm Shall be k�.'it cl and attractive, vxll-lighted, propedy screened and ventilated,and.shall
Fe. lard rnrsagh to s;r�at^ the. chit mn and staff respvaasxbk for their supeavasion. Staff
supccvisim at w-Ws shall be uate to ensure a safe anti comfomble atmosphere for taeatitag.
taw Fibn-y 1,1994)
Section 17a-14+5•7& Reamt ong faa!ties
Wom and outdoor tecreati 1 facilities, supplies and oquipunt shall be provrded and used by the
rt i*m .APPropri ate safety neasures, inmzwdo as and supervisian should be provided to protest the
chUdreet horn boSy hams.
P>x"F:txuar�r.1 p 4`
Section 17a-145•79. Ttie Service
Each wMie or sepo to hvi 'ttnh shall have 24-hoot telephm service,
tl m ive Pcbnl y 1,1994) l
f
IU%cility slbaft provide a"
to interml and extol security to ensure the safety of children md,staff
firam outside ir�. i
(Effbcfiyeftt y 1.1994)
,
Sutton 17a-1.43•81. '4vtt& ts for education
Each oWld-care facility shall ure that every diW it care attends an appropriate educational prrwam
whiloh is approved by the state bducatican apncy jo accordance with state law.
y
FAX
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074-2786
TELEPHONE (860) 644-2511 FAX (860) 644-3781
TO: e�e� J e,n�n i ,n
COMPANY:
FAX NUMBER: 7 7 & 9
RE:
DATE: ,� - a 9
TOTAL NUMBER OF PAGES INCLUDING COVER: c;L
FROM:
NOTES/COMMENTS:
Town of South Windsor hall96/misc/fax
C r 71own
e �
U
1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074
�f�dsoe•Co�- AREA CODE 860 / 644-2511
December 2, 1999
Mr. Peter Jennings
Facilities Manager
Community Solutions, Inc.
310 Collins Street
Hartford, CT 06105
Dear Mr. Jennings:
At your request, a survey of Community Solutions Safe House at 3 7 John Fitch
Blvd. South Windsor was conducted by this Department on November 29, 1999.
All aspects of the facility appeared to be in good condition. No hazardous or
unsanitary conditions were observed.
Yours truce,
"i�0, V
Robert Deptula, R.S.
Environmental Health Officer
RD jcm
Peter Jennings
Facilities Manager COMMUNITY
SOLUTIONS INC.
310 Collins Street
Hartford,CT 06105
Err 9-7 � —,?.� (860) 520-4046
�!J Beeper(860) 279-2678
roc vt -{ F14 2. 2219
mu�w
Let
-------------
SOWN SE4
70� O slo �
m 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074
�r��sox-CO AREA CODE 860/644-2511
November 30, 2005
Alice A. Formeister, M.A.
Program Director
Community Solutions, Inc.
South Windsor Safe Home
37 John Fitch Boulevard
South Windsor, CT 06074
Dear Ms. Formeister:
At your request, this Department on November 15t' conducted a survey of Community
Solutions Safe House at 37 John Fitch Boulevard, South Windsor.
Although there are no State Health Department regulatory guidelines, all aspects of the
facility appeared to be in good condition. No hazardous or unsanitary conditions were
observed.
Very truly yours,
Robert Deptula, R. S.
Environmental Health Officer
RD/cm
11/30/2005 WED 11:51 FAX 860 644 7280 South Windsor Town Hall 0001
*********************
*** FAX TX REPORT ***
*********************
TRANSMISSION OK
JOB NO. 0451
DESTINATION ADDRESS 92893298
PSWD/SUBADDRESS
DESTINATION ID
ST. TIME 11/30 11:51
USAGE T 00' 29
PGS. 1
RESULT OK
0WN 4 ,
1640 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074
�f�aspR.c AREA CODE 860 1 644-251 1
November 30, 2005
Alice A. Formeister, M.A.
Program Director
Community Solutions, Inc.
South Windsor Safe Home
37 John Fitch Boulevard
South Windsor, CT 06074
Dear Ms. Formelster:
At your.request;this Department on November 15�'conducted a survey of Community
Solutions Safe House at 37 John Fitch Boulevard, South Windsor.
Although there are no State Health Department regulatory guidelines,all aspects of the
facility appeared to be in good condition. No hazardous or unsanitary conditions were
observed.
Very truly yours,
Robert Deptula, R. S.
Environmental Health Officer
RD/cm
,OWN a 4(
y� -
O h 70-Wn � c t V&U&at
7 V V
s 1540 SULLIVAN AVENUE SOUTH WINbSOR, CONN. 06074
AREA CODE 880/844-2511
its i - ~psOr•��
December 21 1999 .
Mr. Peter Jennings
Facilities Manager
COmmunity Solutions; Inc.
310 Collins Street
Hartford, CT 06105
Dear Mr. Jennings:
At your request, a survey Of Community Solutions Safe IIOusv. as 37 fol.."r). Fitch
,Blvd. South Windsor was conducted by this Department on November 29, 1999.
Alt aspects of the facility appeared to be in good condition. No hazardous or
unsanitary conditions were Observed.
Yours truly,
Robert Deptu a, R.S.
Environmental Health Officer
RD/cm , - -
t Alice A. Formeister, M.A_
,_... . _. _ . Program Director
COMMUNITY
SOLUTIONS, INC.
South Windsor Safe Home
3 ?John Fitch Boulevard
South Windsor,CT 06074
(4`1560) 289-2713
(AE360) 289-3298 Fax
swsafepd@earthlink.net
'Llk apt
{
IMPORTA T MESSAGE
FOR _ r�CZM.
DATE y TIME_` -.11tF'.M.
PHONE
- AREA CODE NUMBER —7 EXTENSION
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CAME To SEE YOU WILL GALL AGAIN
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MESSAGE
�rl �cic
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--- - -- - -- - - - SIGNED
TOPS IN ups A.
10/24/2001 16:24 8602893298 COMMUNITY SOLUTIONS PAGE 01/03
Ou 1 ► A. 0
T R
Nil
;i 37 JOHN FITCH BLVD
S-OUTH WIN.D5tR) CT06074
<;. 7440--NE:= (86o) 2, 89 -2- 71-1 FAX : 1860 28oJ.
03
- g8
FACSIMILE TRANSMITTAL SHEET i >j.",
'lC�7• PROM: ►'':.
w PAR
3"I 1 �o '
PHON E kv iBUrt: TOTAL Nth, OF Pi es INCLL Lt1Nr rovmi:'U:
d UfLG'EI-JT FOR REVIEW ❑ PLEASE CQMM[7-f ❑PLEASE EPLY
71
:f
f I `s
3 ,
of
':•," :k
:CON
DENTIA accompanying " {1TY NtyTiGE. The d+acument accom i this fax Vansmiasich !.
conjoins Information,which is confidential,and legally privileged. is information Is
lntshdod=only for the use of the Individual at entity nand on this nsnmission:ahest
g you art3:not the intended reciplent,you are hereby notified that d closing,cepylno;
dlat btatiirag, takincj any action In mliance on the contents of this Ax information is '
:'t.::~ strictly prahltilted,�ond that the document should be returned to C51 irmmedisteiy; i
so that va can arrange for the return of the documents to us at no sat to yau.
fil
• 1
10/24/2001 16:24 8602693298 COMMUNITY SOLUTIONS PAGE 02/03.
t T 8PEC�'ION
RESIDENTIAL A DAY FACILITIES:
I I ATION
STATE OF CONNECTICUT
DE]P.ARTIIXNT OF CB3L.DREN AND FA14UL10E5
ID ION OF ADYM41STRATM LAW AND.FOLIC
505 l3Wtlsam Streei4 Hxrtrur+d,Connecticut 06106
tlt 'SS:
T I C1CTIONSt In the spare provided below,please draw a floor plan of a building used by this taczltV.. fox'sl
cs :treaYines�t I+.i:'.rz,n es fi t children under l S. Attach separate sheets for all additional buildings used for sloopx�g.rsr
l?ate a�Yit purposes, ;
r- jxv..6 ideatifiW the rooms used for sleeping or treatment purposes, and included the nMa, itn'um number of peopkivhO- ,
~ r'.be-treated or%)eep in each room, and ago of 4laildiem;A) each bedroom.
xgxxittie of Is,x; ive Director I bats
A�Vro
%Ttie above floor p4en has been reviewed and the nxWmum number of beds for obildren 1pv eaolk area.M000d with JOY ;,
y` px iv . 'llxia to ir�nu n oa acity for sleeping or treatment purposes by floor is
2nd• 3rd:
'yam CO '
p„NtA IXASE COMPLETE REVERSE MY,
s ° '4?c i
10/24/2001 16:24 8602893298 COMMUNITY SOLUTIONS PAGE 03/03
�R-AFIv SUPPLY
1.Descriptibn of'drinking water source: Public Well hype
TYPES OF NVELLS; I.-Drilled 2-Driven 3-Dug 4-Spring
1. l4as gapply been analyzed and found safe? if sop When?
9,'V,W,kG1C DISPOSAL `
1. Private on-site septic systeM. Public Sewers
Z.runationing properly
TOILET FACU TTTTES'
l:Number of toffets fbr females for Males Urinals
2..Toilets clean --in good working order in goo repair
3.Adequate lighting ventilatinn Screening
K. 1lVkViG QUARTERS (NIAi,for Day Programs)
1.Is distance between beds proper?(3 ft.For single,4 1/2 for double deck beds)?
Lbeo.X for cieanl tress: walls floor mattresses bccldi,rg
Wx CM AND DE9NG ROOM
1. Are dishes,silverware.,etc.In goad condition and clean?
2.Is there sufficient knot water available for washing
t>i h0?
3. Check for olea-Wine'ss: floors. wall$ tables countel s sinks
4. Is refrigerator ulaau? _ Is food adequately reffigerat d?
: 5.'Is food Protected from dust?_ _ flies? vermin?
&Is kltcbela screeneWl Is dining room screened?
7.Are coveted containers provided for garbage?
8.Are food.preparativn&serving areas inn compliance with Healtb Department
' C�'CjUift�1I�CX!#37' .
aE'NEI AL
X.,Axe all siairwgys free from obstruction?
.2.I.s th
e iittiiding apparently in good repair?
3..,Are surrounding grounds kept clean?
4.Is housekeeping satisfactary? _
5'.Are,floor coverings safe and clean? _...._._..
THIS FACILITY HAS BEEN INSPECTFID BY MR AN
[ ]DOES [ a DOES NOT
MEET ALL APPLICABLE BBALTH CODES
SEAL,TH INPE `TOR(Prizzt or type�aaxne).
fia�,ri�•tr�re• _ •
: dss• Date:
Comments acid Recommendations(use separate sheet if necessary)
iEAI; IINSPECTION
��QyN Sf,t�
C �
y ` Town O-PSO� ?d&U&Ot
1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074
R•Co��4 AREA CODE 860 /644-2511
November 6, 2001
Alice A. Formeister, M.A.
Program Director
Community Solutions, Inc.
South Windsor Safe Home
37 John Fitch Boulevard
South Windsor, CT 06074
Dear Ms. Formeister:
At your request, this Department on November 2, 2001 conducted a survey of
Community Solutions Safe House at 37 John Fitch Boulevard, South Windsor.
Although there are no State Health Department regulatory guidelines, all aspects of the
facility appeared to be in good condition. No hazardous or unsanitary conditions were
observed.
Very truly yours,
4449� A40-44
Robert Deptula, R. S.
Environmental Health Officer
RD/cm
1 .4
TOWN OF SOUTH WINDSOR ID :860-644-3781 NOV 06 '01 10 :53
TPRNSM I T Cf=lNF I Pt-IRT I O N FZEPOR'T
NO • 009
RECEIVER 8602893298
TRANSMITTER TOWN OF SOUTH WINDOR
DATE NOV 06 '01 10 :53
DURATION 00 '35
MODE STD
PAGES 01
RESULT OK
TRANSMISSION VERIFI TIO REPORT '
\ TIME : I1/06/2881 11:48
DATEJIME . 11/06 11:48
FAX ./ 92893298DURATIO ° \
) 01 22 \
RESULT O §
MODE STANDARD
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