Inspection Data:

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* 1. Name of Agency:

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* 2. Total Number of Inspections Conducted for Fixed Food Establishments (ENTER NUMBERS ONLY):

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* 3. Total Number of Inspections Conducted for Mobile, Vending & STFU's (ENTER NUMBERS ONLY):

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* 4. Total Number of Inspections Conducted for Temporary Food Establishments (ENTER NUMBERS ONLY):

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* 5. Total Number of Follow-Up Inspections Conducted (ENTER NUMBERS ONLY):

Plans & Plan Review Data:

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* 6. Number of Plans Received for Review (ENTER NUMBERS ONLY):

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* 7. Number of Plans Approved (ENTER NUMBERS ONLY):

General Information Data:

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* 8. Number of Consumer Complaints Investigated (ENTER NUMBERS ONLY):

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* 9. Total Number of FTE's Assigned to the Food Program in the Following Area(s): Plan Review, Supervision, Coordination, Clerical, and other Food Related NON-Inspection Time (ENTER NUMBERS ONLY):

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* 10. Total Number of FTE's Assigned to Conduct Food Establishment Inspections (All Types) (ENTER NUMBERS ONLY):

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