HomeMy WebLinkAbout4700 coffee violation q0-14-15SUMMARY OF VIOLATIONS
Item
REQUIREMENT FOR G0,,,RRECTION
DATE: FOR
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C ORRECTION`
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Inspectors
Received by:
Signature:%
Phone:
Print Name :•. L 4:
Date:
Date:
KPS #8447 .
White - Business Copy Yellow - Business Copy to' be sent in after Return -to- Compliance Pink'— Prevention Services Copy