HomeMy WebLinkAboutClass 2 Violations 9-23-16Owner/Operator:
Facility: --
Address:
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Notice Of Violation: laisjPandlor Class I Violations were found during,this inspection as
noted in the following Summa of Violations.
REQUIREMENT FOR CORRECTION.
OF VIOLATION
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for all Class I Violations, and for any Class ll violations not
corrected within the required timeframe. This. report does not represent that. thereare. no other
-violations at this facility. A re- inspection may occur to determine compliance status.
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Item
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VIOLATION
REQUIREMENT FOR CORRECTION.
OF VIOLATION
DATE FOR
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Signature. ---
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Print Name
Date: .
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White — Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy