HomeMy WebLinkAbout#725 Class 1 9-23-16t;LASS 11 AND ULA55 1 V IULATIUNS'.
owner/Operator: Mf .
Address: Aar
Al IMMARY OF VIOLATIONS
Item
Notice Of Violation: Class H and/or lass -l- Violations were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations indicated in this inspection report must be corrected within 30 days, unless
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otherwise noted.
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Formal enforcement will be initiated for all Class I Violations, and for any Class 11 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.
Al IMMARY OF VIOLATIONS
Item
VIOLATION ' T
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Inspectors
Signature:
Received by :.
Phone: 61 6 t -
Print Name.: x
Date:
Date: -
White Business Copy Yellow— Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy