HomeMy WebLinkAboutNOV 2016Owner /O erator: a
F a c i I i : 144 9,c c) 0 (.o,3,5-
Address: '= 1 '. Lei L- i r--ot2l.
1
Notice Of Violation: Class H and /or Class / 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.
Formalenforcement 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.
SUMMARY OF VIOLATIONS
Item
VIOLATION'
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Inspectors
Si nature:
Received by:.
Phone: 3 _
Print Name:
Date: 12.-8-1(p
TDate:
White - Business Copy
Yellow -- Bu iness Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy