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i <br /> SNOHOMISH <br /> HEALTH DISTRICT Equipment List <br /> WWW.SNOHa.ORG <br /> Facility name: r,. o c-03 <br /> List all food service equipment, including make and model numbers. Examples include, but are not limited to, <br /> refrigerators, sinks, stoves, ovens, steam tables, blenders, ice machines, ventilation hoods, and all countertop <br /> appliances. If make and model number cannot be found, a picture of the equipment is required. The item <br /> numbers on this list must be the same as the item numbers for the equipment on the floor plan. • <br /> All equipment ID numbers must correspond to location on floor plan. Equipment must be commercial grade <br /> and meet American National Standards Institutes(ANSI) standard (NSF, ETL or UL Sanitation listed). Only <br /> one item per line. <br /> Sample Equipment List <br /> ID# Kind of equipment • Make Model# <br /> s�. 1Ce Ytia-l]�nQ <br /> ,�...: <br /> ... ,..., v. <br /> ©The equipment list is included on floor plan. • <br /> ( c erfkAC 4 SC it soon, IS S2) e <br /> OnV)ckuttAr I 10 <br /> -(5_0,84) ocie y l/s <br /> z • <br /> Cf,ecArn -e,(C k l•en cC, ;Dc,)— c.> <br /> ,ick iC Mc, c AocA t l< `i-e9CD <br /> )r'f\ ( 'Ker VOW1 2_40 <br /> u n 6et eq./alp{ Cool-el' /(VeAr) ( -110 C 72 12 = G <br /> Poic,‘ n co 1,0 <br /> 8 Ccs '-' P6c0 41`r NS-f <br /> Environmental Health Division <br /> 3020 Rucker Avenue,Suite 104 111 Everett,WA 98201-3900 Ia fax:425.339.5254■tel:425.339.5250 <br />