HomeMy WebLinkAboutnov sb989 nov 2016Owner/Operator:
Facili ty: 0 9 P,,Aj D -� AS
Address: 5ol
Q11MMORY nF V1n1 ATInNS
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Notice Of Violation: C /ass 11 nd/or Class I 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
otherwise noted.
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Formal enforcement will be initiated for all Class l 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.
Q11MMORY nF V1n1 ATInNS
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VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR.
CORRECTION"..:,
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Ins ectors
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Signature:
Received by: �1
Phone:
Print Name:
Date: �.. r
Date:
White — Business Copy Yellow — Business Copy to be, sent in after Return -to- Compliance Pink Prevention Services Copy
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