HomeMy WebLinkAbout2016 sb989 novOwner/Operator: r ; ° -1' 17 . .. �
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Address: 1:7n6 .
SUMMARY OF VIOLATIONS
Notice Of Violation: lam 11 nd /or Class l Violations were found during this inspection as.
noted in the following,_ Summafy of Violations.
Item
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The violations indicated in this inspection report must be corrected within 30 days, unless
REQUIREMENT FOR CORRECTION
OF VIOLATION
otherwise noted.
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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
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violations at this facility. A re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Received by:
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Item
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VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Inspectors
Signature: PS
Received by:
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Phone: , -`, c .."'
Print Name:
Date: q--7-1(.0
Date:
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy
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