HomeMy WebLinkAboutClass 2 Violations 9-19-2016Owner /0 erator: OVA
Address: ,° i r'N.A \j I;-: -
S1IMMARY OF VIOLATIONS
.Notice Of Violation: as and /or Class I Violations were found during this inspection as
noted in the following Summa of Violations.
Inspectors
Signature:
The violations indicated in this inspection report must be corrected within 30 days, unless
Date:
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.
S1IMMARY OF VIOLATIONS
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Received by:.."'.'
Print Name: ,,°- ', -.._ ,� _.
Inspectors
Signature:
Phone: -'
Date:
Date:.
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy