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Eyewash lz-_t:an Sewice and Inspection Record - <br /> unit Lo&U _.-- -''.� •g <br /> Unit TYPa: Permanent Plumbing ❑Por ..e ❑OtM1er:— ; <br /> E ewasn U,h Semica.Rc or� - <br /> DabSoldUonwas F.pirabon Data of perfomtin Thi.SeNtce <br /> last cna ea - <br /> Solution R ml��aadaucom n ,y <br /> _ N. ( twat <br /> E 21—Z <br /> 1 <br /> In.—I. Initials below indicate unW,condition meets the following criteria: <br /> f.U'is dean and Nlly accessible in 1De even)a1 emergenty(IM1ere is no tleDds Drotlud blo d,q access to,nit) <br /> R.Unit is NII olsolu4on to meet minimum Daw nN of 15 minutes tp,nable units only) / <br /> S.Soloeoa wnM1in is nd erpiretl per the lad envy en 1M1e service record above(ponable units only) _ <br /> 4.t—a valve is mn UM OPEN poailian to allow w tinuous now of water to unit(permanent plumbing Unns only) <br /> S.Phyaital flow lest intlicales unit landiens pfoperly(permanently plumbed units only) ■ rm <br /> awash Station Weekty Inspection Re 4 <br /> Dab oft'rte of Data of Dab of Da,leof <br /> In peceon Drieep i,l.,eNon Initials Inapectlon bleats Inspection I Is In�FecSon Initials �Sp%Pfyfer" _ <br /> 99-9 <br /> AN <br /> 44001 b <br /> Fr�a 3 °vrr� sr%/ Y r r r r (� �mN�!►agnNl� <br /> 9/uf 3 r Y//P y1 <br /> I <br /> a>1r3 ray / —�— II�INIIIII all <br /> 5 � old!,�IPaa•.� ,.a�,a ----� ,; <br /> VIII INIVIII���` -.._....._....._._............._,...m.... <br /> r a/L all//Y <br /> lD nl,z ' 7rr3 <br /> ° P' / <br /> T#W.a+ <br /> 't <br /> L r <br /> A4 <br /> I <br /> 1 <br /> s <br /> SpiffyYer" <br /> 44001 b. r=8 MIR . <br /> e <br /> ww, <br /> A�rd a�, a,�ammq�ni►nnN,G �. y ���� �, <br /> _E��IIIIy�Nlllll�,— IIIIIIIIIII a») •� � <br /> t <br />