Title Page
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Document No.
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QHRC Gym cleaning
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Client / Site
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Conducted on
1. Treadmill
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Treadmill 1
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Before pictures
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After pictures
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Signature
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Date cleaned
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Treadmill 2
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Before pictures
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After pictures
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Signature
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Date cleaned
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Treadmill 3
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Before pictures
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After pictures
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Signature
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Date cleaned
2. Cross trainers
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Cross trainer 1
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Before pictures
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After pictures
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Signature
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Date cleaned
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Cross trainer 2
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Before pictures
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After pictures
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Signature
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Date cleaned
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Cross trainer 3
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Before pictures
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After pictures
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Signature
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Date cleaned
3. Bikes
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Bike 1
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Before pictures
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After pictures
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Signature
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Date cleaned
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Bike 2
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Before pictures
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After pictures
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Signature
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Date cleaned
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Bike 3
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Before pictures
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After pictures
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Signature
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Date cleaned
4. Rowers
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Rower 1
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Before pictures
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After pictures
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Signature
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Date cleaned
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Rower 2
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Before pictures
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After pictures
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Signature
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Date cleaned
5. Resistance machines
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Shoulder press
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Before pictures
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After pictures
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Signature
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Date cleaned
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Chest Press
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Before pictures
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After pictures
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Signature
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Date cleaned
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Lat pull down including attachments
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Before pictures
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After pictures
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Signature
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Date cleaned
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Chin/dip
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Before pictures
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After pictures
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Signature
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Date cleaned
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Pec fly
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Before pictures
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After pictures
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Signature
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Date cleaned
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Leg Press
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Before pictures
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After pictures
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Signature
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Date cleaned
6. Gym toys
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Swiss ball
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Before pictures
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After pictures
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Signature
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Date cleaned
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Medicine ball
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Before pictures
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After pictures
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Signature
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Date cleaned
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Reebok Deck
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Before pictures
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After pictures
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Signature
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Date cleaned
7. Mirrors & Windows
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Mirrors
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Before pictures
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After pictures
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Signature
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Date cleaned
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Windows
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Before pictures
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After pictures
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Signature
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Date cleaned
Information
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Notes or other information
