HomeMy WebLinkAboutNOV 2016Owner/Operator: ( C 1<1A 7-" 47r t
Facility:
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.1IMMARY nF VIM ATIONS
Item
Notice Of Violation: Class Ondlor Class I Violations were found during this inspection as
noted in the followin Summa 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 1 1. violations not
corrected within the required timeframe..t This report does not represent that there are no other
a t, f C �� 0� d✓i its C� P� k,��
violations at this.facilit . A re- inspection may occur to determine compliance status.
.1IMMARY nF VIM ATIONS
Item
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Inspectors
Sig nature:,�fr 5
Received by:
P-hone:
T Print Name:
Date: - °" --
Date:
White —' Business Copy Yellow Business Copy to be sent in after Return -to- Compliance Pink Prevention Services Copy