East Haven Villa 02032010FACILITY
INSPECTION DATE
ADDRESS
ANNUAL
SEMI-ANNUAL
CITY
STATE
ZIP�7PHONE
TIME
AM
PM
I
OWNER/MANAGER
LAST HYDRO DATE
HYDRO TEST DUE
SIX YEAR MAINTENANCE
1
1
SYSTEM,yMANUFACTURER1
280
350
360
450
Soo
GAS
ELECTRIC
A06 F- A P,
I
I
I
I
I
I
MODEL
IWODMUCT
FRYER
BROILER
GRILL
BURNERS
110TTOP
OTHER
I
I
I