Chinese Wok 04132012FACILITY
INSPECTION DATE
ADDRESS
ANNUAL
SEMI-ANNUAL
K
CITY `
STATE, ;I,
ZIP
PHONE
TIME
Abd
PM
5
_
OWNERIMANAGER
LAST HYDRO DATE -
HYDRO TEST DUE
+SIX YEAR: MAINTENANCE
SYSTEM MANUFACTURER
i'
280
350
360
450
500
GAS 'i
ELECTRIC
MODEL
_
IlpppmucT'.
FRYER '
IIROILER
GRILL
BURNERS
HOT: TOP
OTHER