HomeMy WebLinkAboutClass 2 Violations 7-11-16_1-8CLASS 11 AND GLASS I 'VIOLATIONS
Owner /Operator: r
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Address: L,2 Aj
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Notice Of Violafion: Class.11.and /or Class l Violations were found during this inspection as
noted in the following Summary of Violations.
The violation indicated in #his inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for aII Class I Violations, and -for any Class III Violations not
DATE FOR
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
Item
REQUIREMENT REQUIREMENT FOR CORRECTION
DATE FOR
OF VIOLATION
CORRECTION
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Inspectors
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Signature:'
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Phone:' , - r> ->
Print Name:.f
Date: 4 -
Date:
0S #8447
White - Business.Copy, Yellow - Business,Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy