Restroom Location Information 

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of publication 

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Public restroom or business name
Street Address   City                
Territory or U.S. State  - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming  Country
Zip Code  
(please be as specific as possible)

Useful Information
If not free, what is the cost?   

 Gender specific, or unisex

Hours open:     24 hours    Business hours      Daylight hours

Rate this restroom:  Excellent Good Adequate Bad Horrible
Qualities:  

Comments  
Are you human?  If so, add these numbers 5 + 5      

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