HomeMy WebLinkAboutClass 1 & 2 Violations 8-31-16_3-10Owner/Operator:m
Facility: tr:� "3 l `' .,tkf fo ` • f, G!1 �Jc `s C r�d�l1r 'tom
Address: 1415.
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Notice Of Violation: Q(tiass H and /or Crass4 Violations were found during this inspection as
noted in rthe followinq_.Summary of Violations.
Received by: ,
The violations indicated in this inspection report must be corrected within 30 days, unless
1 - 3 'D.
otherwise noted.
Date:
Formal enforcement will be initiated for all Class I Violations, and for any Class 11 violations. not
Date: . .
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.
SUMMARY OF VIOLATIONS
Inspectors
Signature:
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Received by: ,
Phone:
1 - 3 'D.
Print Name:,,x' �.
Date:
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Date: . .
White — Business Copy Yellow Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy