Title Page
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Location:
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Audited by:
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Date:
Audit Summary
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Total number of Combies inspected
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Total number of Combies with Cross Contamination
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% of Combies requiring attention
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Total number of Combies with Poor Presentation
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% of Combies requiring attention
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Over all condition of grids
Centra Grid Inspection:
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1. Issue Noted:
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Drop point number:
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Photo
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2. Issue Noted:
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Drop point number:
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Photo
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3. Issue Noted:
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Drop point number
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Photo
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4. Issue Noted:
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Drop point number
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Photo
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5. Issue Noted:
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Drop point number
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Photo
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6. Issue Noted:
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Drop point number
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Photo
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7. Issue Noted:
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Drop point number
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Photo
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8. Issue Noted:
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Drop Point number
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Photo
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9. Issue Noted:
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Drop point number
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Photo
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10. Issue Noted:
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Drop point number
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Photo
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11. Issue Noted:
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Drop point number
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Photo
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12. Issue Noted:
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Drop point number
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Photo
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13. Issue Noted:
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Drop point number
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Photo
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14. Issue Noted:
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Drop point number
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Photo