HomeMy WebLinkAboutnov notice 9-2017t;LASS 11 AND (.:LASS 1 VIOLATIONS
Owner/Operator: S"1 .� -0 4/0-2 C 0 el ".1 "0
Facility:
Address: f�
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Notice Of Violation: is-7si7irO. d /or Class / Violations were four nd during this inspection as
noted in the following Summa of Violations.
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 11 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 REQUIREMENT FOR CORRECTION DATE FOR
VIOLATION
OF VIOLATION CORRECTION
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Inspectors
jSinature:.
Received by: off
Phone: _ Print Name: r
Date: _ _ Date:
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy