Puerta Vallarta 04132012FACILITY
INSPECTION DATE
, 7;. -r,,
12
..t
ADDRESS
ANNUAL
��SEMI-ANNUAL
'CITY `:
STATE
ZIP
PHONE
TIME
AM
PM `:
OWNER/MANAGER
'-
LAST: HYDRO DATE 'r
HYDRO TEST DUE
:SIX YEAR MAINTENANCE ,I
SYSTEM MANUFACTURER
3
-
280
350
360
450
500 i
GAS';
ELECTRIC
MODEL
HOOD/DUCT =
PRYER ":
BROILER
GRILL!.
BURNERS
HOT TOP
OTHER