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J Thai 011394 Visit 05 18 16.JH.PDF
Comment Addendum Report REHS ID: Establishment Name: Location Address: *GC Establishment ID: Date: Status Code: Category #:City:State: Zip: Permittee: Telephone: County: Wastewater System: Water Supply: Email Person in Charge (Print & Sign): Regulatory Authority (Print & Sign): Page 1 of 1 Observations - Corrective Actions - General Comments Time In: Time Out: ampmampm: : // Total Time: Temperature Observations ItemTemp TempLocationItemLocationTempItemLocation Municipal/Community On-Site System Municipal/Community On-Site System Food Establishment Inspection Report, 3/2013 DHHS is an equal opportunity employer.Environmental Health Section Food Protection ProgramNorth Carolina Department of Health & Human Services Division of Public Health REHS Contact Phone Number:()- FirstLast FirstLast Water Sample taken?Yes No Visit Verification Name Change Status Change Pre-Opening Visit Other Inspection Re-inspection J THAI 2352 SPRINGS RD NE HICKORY NC 18 Catawba 28601 SISAVATH CHANTHABANDITH 2018011394 0 5 1 8 2 0 1 6 K IV SISAVATH@LIVE.COM 1 0 4 7 1 0 4 8 1 minute TRANSITIONAL REQUIREMENTS MET.p JASON HUFFMAN 1654 - Huffman, Jason 05/18/2016 05/18/2016 1 1 4