HomeMy WebLinkAboutInspection 535 Evergreen Way (2) ou,K D�t�
r. . fi� Town of South Windsor — Health Department
1540 Sullivan Ave., South Windsor, CT 06074— Mailing Address
1530 Sullivan Ave., South Windsor, CT 06074— Office Address
Phone Number: (860) 337-6173, Fax Number: (860) 644-1930
1 understand that the South Windsor Health Department is now conducting routine inspections
electronically. I elect to receive my inspection report by:
Email Fax �) USPS Mail
Email Address (if applicable)
Fax # (if applicable)
Address
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Establishment
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Manager/QFO Signature
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Manager/QFO Printed
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Date