HomeMy WebLinkAbout300 FAIRVIEW CLASS 2 NOV 6.15.15during this inspection as
Notice Of Violatioli Class' H and /or C /ass / Violations were found
noted in the followin ' Mmary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, .unless
otherwise noted.,,
DATE FOR
Formal. enforcement will be initiated` for all Class I Violations, and for any Class - l l violations not
corrected within the required timeframe.. This report does not represent that there are no other
VIOLATION
violations at this facility. A re- inspection may occur.'to determine compliance status.
during this inspection as
SUMMARY 'OF, VIOLATIONS
Item
REQUIREMENT FOR CORRECTION
DATE FOR
#
VIOLATION
OF VIOLATION
CORRECTION
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Inspectors '�
Received by:
Signature.
Fp--h-o-n�:TprintName:
Date:
i
Dater
.. KPS #8447
White — Business Copy. Yellow - Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy