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HomeMy WebLinkAboutFood Service Establishment Inspection 46 (18) Page-(Page—L Of INSPECTION REPORT STATE OF CONNECTICUT FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH CONTINUATION SHEET NAME OF ESTABLISHMENT TOWN DATE OF INSPEECTION S / 1 INSPECTION FORM# REMARKS 3` 3� 91[ Z>& k � r TO D TIME Ieo.APM- FROM PH NE( } H O I770— CELL( ) O FAX( ) N E `' fc . s , E A M G E E-MAILADDRESS SIGNED PHONEDUrl BA L RNED ] SE ❑ ANALLCK❑ CAL EYOU - WILL ❑ WAS.IN ❑ URGENT❑ _ 1$0luelinwRMFORM. 02012 € INITIAL(INSPECTOR) INITIAL(PERSON IN CHARGE) Distribution: Ist-White-Health Department 2nd-Yellow- Owner/Manager