HomeMy WebLinkAboutFood Service Establishment Inspection 46 (4) Page Of
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INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
NAME OF ESTABLISHMENT TOWN DATE OF INSPECTION
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INSPECTIO REMARKS
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INITIAL(INSPECTOR) INITIAL(PERSON IN C
Distribution: I st-White-Health Department 2nd-Yellow-Owner/Manager