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Get NM Food Inspection Form

8 Date: Result: Time In: Action: Time Out: Establishment: Address: City/State: ALBUQUERQUE, NM Zip Code: Permit #: Permit Expiration Date: Purpose of Inspection: Facility ID: Telephone: Activity No: SUPERVISION 1 Points (2-101, 102, 103) IN OUT COS (2-103, 201) IN OUT COS 6 (2-102, 103, 2-201.11) IN OUT COS 6 Person in charge present, demonstrates knowledge, and performs duties 3 EMPLOYEE HEALTH 2 3 Points Management, food employee and conditional employee; knowledg.

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