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HomeMy WebLinkAboutHealth Department Files_81077_pg0017 Page of INSPECTION REPORT STATE OF CONNECTICUT FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH CONTINUATION SHEET NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION INSPECTION REMARKS FORM# p t/,-� z, 1i11- Y � 6 LA- Loam- lc�6e�- 4csn 1A1- ae7-1�9 S �7 Z F-&ovv, L) <-& INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE) -0-�u Distribution: 1st-White-Health Department 2nd-Yellow-Owner/Manager