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<br />� SNOHOMISH
<br />HEALTH DISTRICT
<br />WWW.SNOHD.ORG
<br />Facility name CafeWorks at HopeWorks Station
<br />Equipment List
<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
<br />1 Refrigerator 8'x8' walk-in
<br />2 ,ice machine '
<br />3 Rice cooker
<br />4 3-compartment dish wash sink (with 2 drainboards)
<br />❑ The equipment list is included on floor plan.
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<br />Make
<br />ACME
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<br />Model #
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<br />IM-987 .._ ...:
<br />CR-543
<br />S-3CWD
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<br />Environmental Health Division
<br />3020 Rucker Avenue, Suite 104 ■ Everett, WA 98201-3900 ■ fax: 425.339.5254 ■ tel: 425.339.5250
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