Title Page

  • Site conducted

  • 300 Ellinwood Way, Pleasant Hill, CA. 94523
  • Building:

  • Date:

  • Inspector:

  • Restroom Location:

  • CHECK AND HAND TIGHTEN BOLTS ON TOILETS AND/OR URINALS (Do not overtighten. Snug fit only)

  • INSPECT FLUSHOMETERS FOR OPERATION AND LEAKS

  • INSPECT TOILET PAPER HOLDERS

  • INSPECT PARTITIONS, DOOR LOCKS

  • INSPECT BASIN BRACKETS AND PIPING

  • INSPECT MIRRORS

  • INSPECT SOAP DISPENSERS

  • INSPECT TOWEL DISPENSERS

  • INSPECT FEMININE PRODUCTS DISPENSERS

  • INSPECT FEMININE PRODUCT DISPOSAL CONTAINERS.

  • INSPECT SUPPLY AND EXHAUST GRILLS

  • INSPECT LIGHTING FIXTURES

  • INSPECT ENTRY DOOR FOR PROPER SWEEP AND LATCH

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