|
e4b
<br /> r, 9 911 s
<br /> fr
<br /> F6lcili(j` k4dFoss 1511 Arocip
<br /> (Plc Check the 3ppC0 OP.a(3 dl')(r[�1 i[)a a�[d slrecify size,nUlill9 ei oI t!nl(S and f)C ii 11 n li,l 11 i1 ioEl.)
<br /> FOOD PRO GRAM(1600)
<br /> ❑ Rcs'saur nt: Seating C ,..city Squarc Footage l vv (1115-Idlers f�,�trse e equtrcd: VES ❑ NO f�
<br /> l,,- � ❑1`endia�111achiaes--?dumber of Units
<br /> ❑ C;omrrtissary ❑ Dry (v a,,c only ❑ vJttl Food Pre u[ion c
<br /> ❑ itcfai! Pllart —Squarc ivot_ge ❑ -aritil l':Ie ([\[:;rl:ct only EI I.iui(iPlc I�eParinicnts El Pr�:packagcd Goods Only
<br /> ❑ 111abile Food Ve19i,.fc---1.[al;c
<br /> zl i.lc T}j. Color
<br /> l:cgistrz(ion if i ic_n,c Sticker if
<br /> ❑ 111ob•t1c Food Prep [nit-P�toke Velliclt T}i_ _ Ctlor
<br /> R,cE•,i [r-iion r
<br /> Sticker
<br /> ❑ Temporary 4>od i�aci[i(y--L)aAe;o?opus tion irum
<br /> to ❑ Ice Ihcts
<br /> ❑ Snccj:Ii vrrE --Uatcsofop.ration pm roto ❑ I'rodncwS(and
<br /> DAIRY&IROGRAC,I(2000)
<br /> ❑ Orad,:A ?-iv,' ❑ Grade rJ kMair), ❑ i'i fG 7ispceser—tlunlber of ComaL Crs in P,iu16-11ead Unit
<br /> t;UPA ❑ S(a(c Faculty Surcharge(2399)
<br /> tlA'rARDOUS WASTE PRIOLLL:;_'1'',I(2300) 1
<br /> Hazardous !n t�_ I fins�Cn��Ca(ed PrC {c3� ❑ �.1_Ccycic /l; rCEi1�r.t v;i�(Crrr(2299)
<br /> ❑ �1 stc Ccncr �t--
<br /> ❑ �R1 (?�'siii:Handlccs (221€) ❑ Silvc-r Ordy,(2222) ❑ Appliance Zcc�cicrs (2217}
<br /> h 9CrC3 J l't alACt(!E u f aCtlli j'--'--'- ❑ o_a,3iii'Du ally A-udiorlizcd(CA) ❑ C oaditioaally L' cm p(((_L)
<br /> L p 'cnLt 1)'I plc Fixed Unit Uuf-13y-Rine liGl�, chokl Hazardous 4Fras(�
<br /> ❑ r;BO3—Lt-ROU1,l7 S T OLtr`_C-'E"x.4i`II`G'r'_C:e,LI E'_r(AST)(2390) ['.!umLicr of AST
<br /> UNDE.RCROU?' D Si C1PACE,2'15', qK(UST}-VROC-P,,'-_PSL([100) U.s,7 U ,"!cmd fi ;oro i s-
<br /> 6't iit,G.Sj iG pR0,G RC%NI(2400)
<br /> Ltn
<br /> F-1- 11ote1!!(1otc1 i lumber of t_lnits ❑ u i!or!�_c��r( i�n.(i(a�.i_on hl v��,Ler of ils
<br /> etrin}'t1Ls�siry(2100) use ';tp[apE�aratrSus r'Gi,rQ:cirsf,,'rnfiruii,:-n (o9i
<br /> SITE MIT 6GtiT OON(2500) 1GclGRQL'i°(il4G_1@[1SErC"u 9(i0. PI CONTROL 3000)
<br /> ❑ TII� SLT C
<br /> tl'nllS'C� 1(0i�1
<br /> ❑ kai2-. m ( sc -_ Uyr ❑ � _
<br /> ❑ _1.bandoocd IIIXSite ❑ voe-J,1P .('S[Ey'Cli:2!1T-!P S[te ❑ `,V(DCU C';ciuup Sgt- ❑ i,'i atee ---l:tj acrmCdr::([CP_Slit:
<br /> ntQRE'A•i;Or4P.L CIEc_p`0 -1 PROGRAM,(3600)
<br /> L'.,ol ❑ S� . ❑ Out ?t Scrti�va k noJJp.z ❑ i'i.=.tor_Y LtaGaiae r;.t'ca
<br /> ?-IumbcrolPool_iSpa; at t���_ciliiy_— t
<br /> VEC T OR COf ITRO L L` (4000)
<br /> ❑3'oultr,; ar i. i'LciFnurn mumbcr o1 binis 0 €.Ccuacl
<br /> TA`FA00 13OD-ifP[E- CHIG, (4 100)
<br /> ❑ T2ttooing(-i 12 1) ❑ Body 1'icrcin[(41%'0) ❑ �erz anent i isc[c(ics(4122)
<br /> P_aQtt[D VINSTE MO GRM-:i(4200)
<br /> p'ar_?prr VcL[c1c-L,eglsL�tmn # L<ccn e r ('^ uy l it.le iT
<br /> p=-
<br /> ❑ ->.,c1-t__ =at b -, �(bcu ic'_i P)i1c;.s--1 iun--- nf1_i111�:
<br /> 1'u_rtp'cr}'zs-d �.-J h... [r It rairii�-'-- ,1'-1'-- ❑
<br /> SCILID WASTE t RO ,Ptl(-1400)
<br /> ❑ L aq—MH ❑ h -_ on ❑ A.s I Canne!-J ❑ S!udtel:'.s[!It C,
<br /> �{ cr_ ilii-i r, .._1 : i ❑ r�A,v..and1f11 Jif_
<br /> Ut71�(c,tirC.k?Cltl ' _ ❑ E'aQl`:� F uj
<br /> ❑ ReNTSC-Vrtdelc•-1 I,, r- -- 1-� L)wr�pitcrs=ZQ �!� , —1!umber [�lnit_:— mt vt .
<br /> P,JEDICAL WASTE
<br /> ❑ 1'r? l I
<br /> ❑ T _ n '_I' = t. --- 1— it -- - - U ----❑ :Il�.''�1.[�lnfC
<br /> � 6 I 1 L i i',:._II (l _ i 1� 11_
<br />
|