HomeMy WebLinkAboutUPIC VIOLATION 8/2/2016Owner/Operator: ,,Iq-V -A 7
Facility:,._
Address: N-1 Z
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Item
Notice Of Violation: Class U A nd /or Class I Violations were found during this inspection as
noted in the following Su a of Violations.
REQUIREMENT FOR CORRECTION
OLATION
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for all Class I Violations, and for any Class II violations not
corrected within the required timeframe. This report does not represent that there are no other
violations at this facility. A re- inspection may occur to determine compliance status.
c1IRAMARV nF VIM ATInNS
Item
VIOLATION
REQUIREMENT FOR CORRECTION
OLATION
DATE FOR
CORRECTION:.
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Inspectors
Signature: -'"
Received b Y .'
Fp-ho7n e: Z,* =' U 5-30
Print Name:
Date: 1-7 - r
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White Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy