HomeMy WebLinkAbout NOV 1-2017k,
CLASS 11 AND CLASS I VIOLATIONS
Owne*r/Ope tor: hn r or T. %j C
Facility. �,-vl j -,j 6, 9 C,
Address: 0 rtn d A/ 6
SUMMARY OF VIOLATIONS
Item
Notice Of Violation: Class H and /or Class I 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.
L C,
Formal enforcement will be initiated for all Class I Violations, and for any Class 11 violations not
corrected within the required timeframe. This report does not represent that there are no other
/4 4 0
violations at this facility. A re-inspection . may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item
White — Business Copy
Yellow — Busines s Copy to be sent in after Return-to.-Compliance Pink Prevention Services Copy
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
L C,
I —T t^ -:..4 -,c- 4 a EC aV
/4 4 0
V--\. c7i,,J —7 -1 Y C2, I= i L-L
2> j cT-i L Q �--S AA-, 9D
um iu C'F-u
C
Inspectors
Signature:
Received by:
r1k
Phone: e,.� c,, z,(, ems. c,
Print Name: IN
Date: i �0
TDater
White — Business Copy
Yellow — Busines s Copy to be sent in after Return-to.-Compliance Pink Prevention Services Copy