HomeMy WebLinkAboutCLASS 2 NOV 8-7-18Owner/Operator: =: ., _ t2 M
Address:
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Notice Of Violation: Klass II and /or Class I Violations were found during this inspection as
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noted in the following Summary of Violations.
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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 II violations not
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corrected within the required timeframe. This report does not represent that there are no other
Print Name: � - -
violations at this facilit . A re- inspection ma ' occur to determine compliance status.
-q l IMMARY OF VIOLATIONS
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Signature:
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Phone:
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Date: ,-
White — Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy