HomeMy WebLinkAboutnov 2018 (2)Owner/Operator: F c . q �'V CA
Address: A 1f A a_ t °
SUMMARY OF VIOLATIONS
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Notice Of Violation:... lass ll nd /or Class I Violations were found during this inspection as
noted in the following Summa of Violations.
RFQU'1,REMENT FOR CORRECTION
- OF VIOLATION
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Re ID e1 V V% 3 r "" L li 4a i e . 1
..,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
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VIOLATION
RFQU'1,REMENT FOR CORRECTION
- OF VIOLATION
DATE FOR
CORRECTIOWj'.
7 01 a V.- . V10 t ' l Q I C1 „- N
Re ID e1 V V% 3 r "" L li 4a i e . 1
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Inspectors
Signature:
Received I�y: - ,•
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Phone: 11
Print Name:
Date: tp,
Dater
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy