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FACILITY WIDE RELATIVE MONTHLY ACTIVITY <br /> If the facility has the same operating schedule year round, then please check the box <br /> next to the Default Monthly Activity. Otherwise provide the relative monthly activity <br /> expressed in percentage that the facility operates each month. Note: 100%112 =8.3%. <br /> E <br /> DEFAULT MONTHLY ACTIVITY 1 8.3 1 8.3 1 8.3 1 8.3 8.3 8.3 18.3 8.3 1 8.3 11 8.3 8.3 8.3 <br /> MONTHLY RELATIVE ACTIVITY14%3114,a 11¢,3114',.31 Q 1 /4,3114. 14,101 0 1 !� <br /> DailyActivity <br /> Please indicate with a circles the normal operating schedule: <br /> Hours per day: 1 2 10 11 12 13 14 15 16 17 18 19 20 21 22 2361 <br /> Days per week: Sunday Monday Tuesday Wednesday Thursday n ay <br /> Signature: Date : l� 06 <br />