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* 1. Your first and last name

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* 2. Email Address

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* 3. Your agency's name (and account number, if known)

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* 4. How often will the SF-Marin Food Bank monitor your site?

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* 5. The following are shop floor guidelines; please check the boxes of ALL shop floor rules that apply:

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* 6. Which of the following Participating Agency Agreements apply to your agency? Select ALL that apply.

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* 7. Before heading to the shop floor check out, I should make sure I categorize my items

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* 8. I should expect to pay my balance at the Food Bank during each check out

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* 9. I should encourage my colleagues and participants to use the “Code Date” extension document as a guide to extending the shelf life of certain products

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* 10. It is safe to store food items alongside and/or under chemical/cleaning products, according to food safety guidelines

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* 11. What are other services I can receive from the Food Bank? Check ALLthat apply.

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