HomeMy WebLinkAboutNOV 2016NOTICE OF VIOLATION / SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Notice Of Violation.
•l %and /or Class I Violations were found during this inspection as
noted in the folio win . sumffiary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for all Class l Violations, and for any Class II violations not
Ljcorrected 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.
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VIOLATION
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REQUIREMENT FOR CORRECTION
O F VIOLATION
DATE FOR
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Inspectors
Signature:
Received by:
Phone:.
Print Name:
Date:
Date:
White Business Copy
Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy