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•�+910 .. <br /> Address: City: Zip Code: <br /> Owner/Operator: /24ephone: 93o- 9&/st <br /> Program Element: t&_1_ Pro§ram Record: Ihspection Type: <br /> 03 <br /> M80 Posted ■Yes ■ No Permit Posted G Yes ■ No Re-inspection on or After: <br /> PY <br /> to <br /> -- -�-/ - <br /> I ' ` /• �i.r.S_. /•. � Jim- L / ' / I/ � / / �'���i / � /� <br /> / / / / I' / /h... /• /L / a �� //�/L� <br /> �/ , / r L %I /• / i2 <br /> I.I.. � � // <br /> / . © _ <br /> / �` <br /> LFood Safety Certification Facility Hot Water Temperature <br /> / 11 MUM <br /> Hand Sink: F <br /> ii <br /> Warewashing Sink: 16 <br /> Receive By Title, <br /> Time in: Time Out: pag <br /> ��__. <br />