Standard Operating Procedure [sop] Worksheet Page 8

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C. Chemical Storage: Describe where sanitizers and other chemical will be stored in
the facility, including spray bottles in work areas.
4. Water Supply
A. Municipal or Type II Well? _____________________________________________
B. Backflow Prevention: List equipment that will require backflow prevention and what
method of backflow prevention will be provided (examples: carbonator with
screened/vented double check valve; pressurized hose on mop sink).
Equipment
Backflow Prevention Method
5. Sewage Disposal
A. Municipal or On-site system? __________________________________________
B. Backflow Prevention: List equipment that will require backflow prevention and what
method of backflow prevention will be provided (examples: ice machine with an air gap).
Equipment
Backflow Prevention Method
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Reviewer Initials_______ Approval Date__________ 

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