HomeMy WebLinkAboutClass 2 11-16-16Owner /o
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Notice Of Violation: C/as - and /or Class l Violations were found during this inspection as
noted in the followinq_Summafy 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 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 ma occur to determine compliance status.
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..Item
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR,
CORRECTION.
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Inspectors
Signature:
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Received by:
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Phone: 0'c
Print Name:
Date. It 16
Date:
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy
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