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  • Conducted on (Date and Time)

  • Inspected by

Afval station

  • Algemene hygiëne orde en netheid

  • Zwerfvuil afwezig

  • Gras / onkruid voldoende onderhouden?

Buitenterrein rondom

  • Algemene hygiëne orde en netheid

  • Zwerfvuil afwezig

  • Gras / onkruid voldoende onderhouden?

COMPLETION

  • Full Name and Signature of the Inspector

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