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FACILITY IRELATIVE 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%/12 =8.3%. <br />DEFAULT MONTHLY ACTIVITY 8.3 1 8.3 ` 8.3 1 8.3 8.3 f-8.3 ! 8.3 8.3 I 8.3 8 3 8 3 8 3 <br />MONTHLY RELATIVE ACTIVITY <br />Daily Activity <br />Please indicate with a circles the normal operating schedule: <br />Hours per day: 12 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 <br />Days per week: Sunday Monday Tuesday Wednesday Thursday Friday Saturday <br />Signature: Date: <br />