Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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Signage installed and photographed?
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How would you rate the condition of the restroom fixtures?
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Are there any missing fixtures in the restrooms?
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How many toilets are there in this restroom?
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How many urinals are there in this men's room?
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How many sinks are there in this restroom
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Is this a men's, women's, or family restroom?
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Is there a functioning hand towel dispenser in this restroom?
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When was the last time the restroom fixtures were inspected?
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Please provide a photo of this restroom's deficient fixtures.
