Title Page
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Date
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Trade staff Name
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Tabs PPM No.
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04-2ndFl-003 Staff Change
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Access into Room?
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Vent 1 Before Clean
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Vent 1 After Clean
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Vent 2 Before Clean
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Vent 2 After Clean
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Vent 3 Before Clean
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Vent 3 After Clean
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Vent 4 Before Clean
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Vent 4 After Clean
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Why No Access?
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Comments
04-2nfFl-122 Office
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Access into Room?
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Vent 1 Before Clean
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Vent 1 After Clean
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Why No Access?
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Comments
04-2ndFl-121 Office
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Access into Room?
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Vent 1 Before Clean
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Vent 1 After Clean
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Vent 2 Before Clean
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Vent 2 After Clean
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Why No Access?
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Comments
04-2ndFl-066 Office
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Access into Room?
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Vent 1 Before Clean
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Vent 1 After Clean
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Vent 2 Before Clean
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Vent 2 After Clean
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Why No Access?
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Comments
04-2ndFl-061 Office
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Access into Room?
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Vent 1 Before Clean
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Vent 1 After Clean
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Vent 2 Before Clean
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Vent 2 After Clean
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Why No Access?
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Comments
04-2ndFl-059 Wait Area
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Access into Room?
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Vent 1 Before Clean
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Vent 1 After Clean
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Why No Access?
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Comments
04-2ndFl-064 Office
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Access into Room?
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Vent 1 Before Clean
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Vent 1 After Clean
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Vent 1 Before Clean
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Vent 1 After Clean
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Why No Access?
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Comments
04-2ndFl-002 Corridor
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Access into Room?
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Vent 1 Before Clean
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Vent 1 After Clean
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Vent 2 Before Clean
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Vent 2 After Clean
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Vent 3 Before Clean
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Vent 3 After Clean
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Why No Access?
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Comments
Additional Comments
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Comments
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Nurse In Charge Sign
