Chinese Wok Range Hood Inspect 09282010FACILITY
INSPECTION DATE,
ADDRESS
ANNUAL
'SEMI-ANNUAL
CITY
STATEZIP
PHONE,
=,TIME
AM-
PM
t ...
OWNER/MANAGER
-.
LAST HYDRO DATE
HYDRO TEST DUE
SIX YEAR MAINTENANCE E
1 L[ SavL
SYSTEM MANUFACTURER'
'.
280
350
360
450
500 d
GAS'.
ELECTRIC
MODELHOODIDUCTs
FRYER
BROILER
GRILL::
BURNERS
UOTTOP
OTHER
r