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STATE OF FLORIDA DEPARTMENT OF HEALTH COUNTY HEALTH DEPARTMENT

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FOOD SERVICE INSPECTION REPORT

Mariposa Elementary 2620 SE Mariposa Ave Port St. Lucie 34952 St. Lucie County School Board 337-5967 56-48-00055
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PURPOSE:

STATE OF FLORIDA DEPARTMENT OF HEALTH COUNTY HEALTH DEPARTMENT
FOOD SERVICE INSPECTION REPORT

OFESTABLISHMENT_

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Mariposa Elementary 2620 SE Mariposa Ave Port St. Lucie 34952 _ St. Lucie County School Board 337-5967 56-48-00055
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STATE OF FLORIDA DEPARTMENT OF HEALTH COUNTY HEALTH DEPARTMENT
FOOD SERVICE INSPECTION REPORT

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T. BLISHMENT __

Mariposa Elementary 2620 SE Mariposa Ave Port St. Lucie 34952 St. Lucie County School Board 337-5967 56-48-00055 -------." ......•-.--.~.---..
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COMMENTS

(continue on attached sheet)

A"iD INSTRllCTIO"iS

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PURPOSE:

STATE OF FLORIDA DEPARTMENT OF HEALTH COUNTY HEALTH DEPARTMENT
FOOD SERVICE INSPECTION REPORT

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ITEM NUMBERS

COMMENTS AND INSTRUCTIONS
(continue on attached sheet)

- =--==-=fNO Ok_1i ot8:¥1fffi - --- r---- .-----PURPOSE:

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STATE OF FLORIDA DEPARTMENT OF HEALTH COUNTY HEALTH DEPARTMENT
FOOO SERVICE INSPECTION REPORT

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EQUIPMEI"T/liTENSIl,S

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COMMENTS

(continue

A:-.iO INSTRlICTIONS
on attached sheet)

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