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404 First St. Jody's Health Inspection Reports 032916 to 041516Food Establishment Inspection Report FOR OFFICE US Page of i fthiqln 5f* Dq.1-1 of vealth -- .......... .. . ..... I I .............. . . . .. . ...... ------ . . . ........ . . ..... . ...... . .. . . . ..... ........ .......... ........ . ... ... . . . .. . . . ....... . ...... . .............. . ---- ...... ..... ....... . .... . .........._.. -- NAME OF ESTABLISI-Ir�NT ADDRESS OR LOCATION q7 r) d. I c c,,,v 1- 6-1,, 11 / 14 t) Acf A 6 tA, 4 t, U„ (sr / vl�17/iym, — IAJ A 1* 1' ..... ......... MEALS SERVED B L D C OtPURPOSE OF ❑ Routine 11 Preoperationgr--6W�e sect' ESTABLISHMENT TYPE iskCkn�G-O-RY PAW"ZI,"V.Stgation ❑ Te ❑ Complain OBSERVED INSPECTION Fr, q -A 1 MEALS 1 DATE TIME IN ELAPSED TIME j REPEAT�RED BLANK BOX PHONE Lt OBSERVATIONS AND CORRECTIVE ACTIONS Item Violations cited in this report must he corrected within the time frames specified. Points Number rie v, 16i�,,Ill 4--c 10 f 0 el, 4 21 ;r Cb —,i .......... . . ............ . . wr . ........ . d, _Z'1.- —. -R A Ili L) 4— Y r . .. . .... ................... . .... . ..... - - - - ----- ------- . .. . . .. ...... ............... . ... . . . .. ..... .......... ........ . .... . ............ . ......... ... .... . ... .......... . ..... . ... .. . ....... . ...... .... . ....... ...... ..... . .. ........ . ........... -------- --- - ... . ............ . ....... - — -- ----------- .. . ........... . .... ....... Person In Charge In Charge d P Regulatory Authority JrJ 'Follow-up Needed? Yes No _4f Regulatory Authority Food Establishment Inspection Report Page of FOR OFFICE USE ONLY ��Healitli EMAIL NAME OF ESTABLISHMENT 1 ADDRESSOR LOCATION CITY • J ©� } 1r L� �� SG r �� ESTABLISHMENT TYPE MEALS SERVED C O PURPOSE OF 0 Routine ❑ Preoperational ❑ Rei tion INSPECTION 0 Illness Invest! tlon mporary MEALS OBSERVED C O Othei: ' a ry to S RISK CATEGORY LBL DATE ELAPSED TIME L POINTS OBSERVATIONS OX PHONE AND CORRECTIVE ACTIONS Item _ Number Violations cited in this report must be corrected within the time frames specified. Points �ot S r ` L� ll,. 71,1 f ire IA�—Cal a e) 1i - y 41f W- 0 C �th' i 7A 191 Xt -- 41C L v- L P 'f- & t Inzil. de:t E� fA- oe �' 1,4 �; t 4�e- 40 - -- in z C��_ if" V v ;�' d' tv L,/14 lutv '.) e, t) n _ S c) 4 -) 1, 41 ' L e S� r �• /4 -�, r c . 6 A T - Z ' Comments Person In Charge Si nature Person In Charge Print Name t Date Regulatory Authority (Signature) Regulatory Authority Print Name ff NNN / l Follow -up Needed? Yes No Food Establishment Inspection Report Page or 4- FOR OFFICE USE ONLY O Health _ EMAIL NAME OF ESTABLISHM T ADDRESS' LOCATION CITY S 1 li b �' ve, 5�u- 1, sct i r. G b" L1J 8� r MEALS SERVED B L D C O PURPOSE OF ❑ Routine ❑ Preoperatbnal� ❑ Reinspection ESTABLISHMENT NPE RISK CATEGORY MEALS OBSERVED B L D C O INSPECTION Other; c' L t 1/ DATE TIME IN 3C) ELAPSED TIME NTS RE POINTS ,t PHONE Food TEMPERATURE Location Temp F OBSERVATIONS Food Location Te m p F Item Number OBSERVATIONS AND COBRECTWE ACTIONS Violations cited in this report must be corrected within the time fr. �7tes specified. - Points f e tr ^• An G4' T•U n {'fClY' ' 7 ,! .Y higz -r i9y1 �_C_R.4t. — U 2Ltii'S W1tlY���srot_t_�+L t ?^f 2+rcr�vt P_ li(�i it {; :n LL� - j rl &-y-t- L. YA Vtt Lf,� S' i^. N jy1, i i N� 1q%'V + ift ,.f /fM/,r,,�, p ale Person In Charge Si nature Regulatory Authority Si nature Person In Charge C J ����n� Print Name tJ c �- °' Regulatory Authority _ '74' Print Name Date Follow -up NP..eded? Yes NO DOH 332 -035B (Revised May 2013)