HomeMy WebLinkAbout10/26/2016 NOVNotice Of Violation: %ss /b and /or Class I Violation's were found during this inspection as
noted in the following Sunimary of Violations.
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
violations at this facility. A re- inspection may occur to determine compliance status.
01 IRAM A OV n= VI[11 ATInNS
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VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTIQN
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Received by
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Print Name:
Date:
Date: , . It V
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Owner/Operator:
Facili or
Address: -o
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Notice Of Violation: Cla nd/or.Class I Violations were found during this inspection as
noted in he followin Summa of Violations.
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 Il 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.
White - Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy
s- V fir!' \V V ■ ■ ! -�. � r � � � �.. ... � __
Owner/Operator: SAVE C-f 1-/
Facility: ;. (' )
Address:
-
- Notice Of Violation 'Class ll ndlor Class l Violations were found during this inspection as
noted in the following Summa of Violations.
Phone: -c
The violations indicated in this inspection report must be corrected within 30 days,, unless
Date: loli, Cli c.
otherwise noted.
Formal enforcement will be initiated for all Class l Violations, and for any Class 11 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.
SUMMARY OF VIOLATIONS
Item
VIOLATION REQUIREMENT FOR CORRECTION DATE FOR
V OF VIOLATION CORRECTION
FIns ctors
ture: . ��
Received by:
Phone: -c
FPrint Name:
Date: loli, Cli c.
F-p-ate:
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