Title Page
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Local Registration #
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LHU Registration #
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Business Name
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Business Address
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Business #
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Email for NOV
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Municipality
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Inspection Date
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Inspector
Hood Suppression
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Hood Suppression
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Call Fire Marshal Immediately
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Last Inspection Date
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Fire Protection Contractor Name
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Fire Protection Contractor Phone #
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Hood Suppression Report
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Hood Suppression Coverage Correct?
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Which Appliance Does Not Have Proper Coverage
- Deep Fryer
- Grill
- Stove
- Griddle
- Wok
- Oven
- Smoker
Hood Exhaust System
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Hood Exhaust Condition
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Call Fire Marshal Immediately
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Hood Cleaning Sticker Present?
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Last Cleaning Date
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Hood Cleaning Records
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Hood Cleaning Company
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Hood Cleaning Company Phone #
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Hood Filter Condition
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Current Hood Filter Cleaning Frequency
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Does Hood Filter Cleaning Frequency Need to be Changed
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How Often Do the Filters have to be Cleaned
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Who Cleans Hood Filters
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Hood Filter Cleaning Company Info
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Hood Exhaust Vent Exterior
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Is Hood Cleaning Schedule Satisfactory?
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New Cleaning Frequency
Cooking Appliances
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Condition of Cooking Appliances
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Which Appliances Require Cleaning
- Deep Fryer
- Grill
- Stove
- Griddle
- Wok
- Oven
- Smoker
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Cooking Appliance Working Order
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Which Appliances are not Working
- Deep Fryer
- Grill
- Stove
- Griddle
- Wok
- Oven
- Smoker
Inspectors Notes
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Inspectors Notes & Comments
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Inspector Signature
