HomeMy WebLinkAboutClass 1 Violation 10-23-2015Owner /0 erator: r_, c 'T :.,,�
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Address.
SUMMARY. OF VIOLATIONS
Item REQUIREMENT FOR. CORRECTION DATE FOR :
VIOLATION
Of VIOLATION CORRECTION.
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Sig nature: Received by: f ��
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Phone rint Name:
Date: i b r Date:
White Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance . Pink - Prevention Services. Copy
Notice Of Violation. 11 and /o �;C/ ass, l,Violations were found during. this inspection as
noted in the following Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
1 =ormal enforcement will be initiated for all :Class L Violations; and for. any Class I I violations not
corrected within the required timeframe.This.. repo rt does not represent that there are no other
'Violations at this. facility.. A re- inspection may occur to determine compliance status.
SUMMARY. OF VIOLATIONS
Item REQUIREMENT FOR. CORRECTION DATE FOR :
VIOLATION
Of VIOLATION CORRECTION.
it )'t .�`
,r
t j t -a
Inspectors `
Sig nature: Received by: f ��
P
Phone rint Name:
Date: i b r Date:
White Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance . Pink - Prevention Services. Copy