HomeMy WebLinkAboutnov notice 9-2017Owner /O erator: w, .
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SUMMARY OF VIOLATIONS
Item
Notice Of Violation C/as_s ll and /or Class I Violations were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
VIOLATION`
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
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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
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violations at this facility. A re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item
VIOLATION
REQUIREMENT FOR CORRECTION
VIOLATION`
DATE 'FOR
C/O_RRE 4
A. �OF
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Inspectors_.''; ---` "_
Signature:
Received by:
Phone: -
Print Name:
Date: - - - f
Date:
White - Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy