HomeMy WebLinkAboutClass 2 9-23-16}
Owner /O erator: k�a
Facility: 0 -. � ,.. r� ..
Address: 600
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CI IMMAPV n1= VIC)I ATIC)NS
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Notice Of Violation" Class 11 and /or Class I Violations were found during this inspection as
noted in the following SUffimi-i-iry 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 II 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.
CI IMMAPV n1= VIC)I ATIC)NS
Item
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VIOLATION
_�
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
1.
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Inspectors t . �
Signature:
Received by:
Phone:'
Print Name:
Date. r
Date: J
White — Business Copy
Yellow — Business .Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy