Post Inspection Survey Question Title * 1. What date was the inspection on? Date / Time Date Question Title * 2. Who was your inspector? Inspector Aldana Inspector Babadzhanyan Inspector Brown Inspector Camp Inspector Campbell Inspector Choplin Inspector DeSutter Inspector Garcia Inspector Herrera Inspector Kunze Inspector Lapastora Inspector Longmore Inspector Medina Inspector Mendoza Inspector Moisant Inspector Montoya Inspector Payton Inspector Perez Inspector Sanchez Inspector Stranahan Inspector Williams I don't remember Question Title * 3. What is the Establishment name and phone number? Question Title * 4. What is the license number? Question Title * 5. Did the inspector introduce themselves, show identification and provide a business card upon arrival? Yes No Question Title * 6. Around what time did the inspector arrive? Question Title * 7. About how long did the inspection last? 1 - 30 minutes 30 minutes - 1 Hour 1 hour - 1 hour and 30 minutes 1 hour and 30 minutes - 2 hours 2 + Hours Question Title * 8. At the completion of the inspection, did the inspector review the violations with you and explain what was need to become complaint with the health and safety requirements? Yes No Question Title * 9. Did the inspector leave you with a yellow copy of the inspection report with all of information boxes filled in? Yes No Question Title * 10. Do you have anything additional information you would like to add? Done
