HomeMy WebLinkAboutCLASS 2 NOV 11-6-18i
Owner /O erator:
Facility: I/
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Notice Of Violation: Class 11 and /or Class I Violations were found during this inspection as `
noted in the following mary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations indicated in this inspection report must be corrected within 30 days, unless
. 1
otherwise noted.
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Formal enforcement will be initiated for all Class I Violations, and for any Class II 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
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Item
#
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION y,
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Inspectors
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Signature: ✓�� # �--
Received by:
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Phone: _
Print Name: „
Date: � �� � :' �
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White — Business Copy Yellow - Business Copy to be. sent in after Return -to- Compliance Pink - Prevention Services Copy