HomeMy WebLinkAbout(Class 2) 12-13-16Owner/Operator:
Facili ty: A Cc E4 w e t'
Address: . . v- A
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Notice Of Violation: Class /.band /or Class l Violations were found during this inspection as
noted in the following Summary of Violations.
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d Receive
The violations indicated in this inspection report must be corrected within 30 days, unless
Signature:
otherwise noted.
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Formal enforcement will be initiated for all Class I Violations, and for any Class 11 violations not
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corrected within the required timeframe. This report does not represent that there are no other
Date:
violations at this facility. A re- inspection may occur to determine compliance status.
Al iMMARY OF VIOLATIONS
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d Receive
Inspectors
Signature:
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Phone:
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Print-Name: f -
Date:
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White — Business Copy Yellow Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy