HomeMy WebLinkAboutPermit Field Test & Inspection Report 1980-06-18OKEGON STATE HEALTH DTVISION
Department of Human F- Jrces
INSPECTION REPOU i
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INSPECTION DATE
rrUR NUMERATS tlXE THIS
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INSPECT
TRAVEI-
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tl SANT. NO. CLASS
TIME
SUPT. OR LICENSEE
FAC. TYPE CTY. NO
GRADE UNITS
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ESTAB. NO ESTAB.
TYPE VIOLATIONS
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AN EVALUATION OF SANITATION ON YOUR PREMISES HAS THIS DAY BEEN MADE AND YOU ARE NOTIFIED OF THE
DEFECTS ENUMERATED BELOW. VIOLATIONS ENUMERATED ON THIS REPORT MAY RESULT IN DENIAL, SUSPENSION
OB REVOCATION OF A LICENSE, CERTIFICATE OR PERMIT.
OAR/ORS SPECIFIC PROBLEM
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REQUIRED CORRECTION & TIME LIMIT
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WHITE: OSHO FILEi YELLOw: POST lN ESTATLlSHMENT; PINK: cOUNTY FILE
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