HomeMy WebLinkAboutCLASS II NOV 9-20-18CLASS 11 AND GLASS 1 VIOLATIONS
Owner /O erator: P Aif� t 1, .c t,�:71en _—i j-,
Address: Y .
Al IMMARY OF VIOLATIONS
Inspectors
Signature:
Notice Of Violation: C %ass l- and /or Class l Violations were found during this inspection as
noted in the following Summary of Violations.
Received by :- Poll-
The violations indicated in this inspection report must be corrected within 30 .days, unless
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otherwise noted.
Dater
Formal enforcement will be initiated for all Class I Violations, and for any Class 11 violations not
Date:
corrected within the required timeframe. This report does not represent that there are no other
violat ions :at this facility. A re- inspection may occur to determine compliance status.
Al IMMARY OF VIOLATIONS
Inspectors
Signature:
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Received by :- Poll-
Phone:
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Print Name:
Dater
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Date:
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy