HomeMy WebLinkAboutCLASS II VIOLATION 9-18-18Owner/Operator:
Facili ty: k
Address:,,
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a
Notice Of Violation: cClasjs H and /or Class l Violations were found during this inspection as
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noted in the following Summa of Violations.
Inspectors
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Signa tu re: �� „ r.. _ x A. . A .�
The violations indicated in this inspection report must be corrected within 30 days, unless
Print Name: _ -f ��---
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 ma occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION DATE FOR
Item OF VIOLATION CORRECTION.. .
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a` l .^"i t t� € �� TM C Q r S. t o t t � •. M' �; ✓�
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White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy
Received byC2
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,
Inspectors
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Signa tu re: �� „ r.. _ x A. . A .�
Phone:,,
Print Name: _ -f ��---
Date: _ j. -"T—pate:
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy