HomeMy WebLinkAbout1998 Jun 09 - Tobacco Sales Permit Inspection Report Form �
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Business Name � Date J �
l�Q
� Business Telephone .
Location �� � � Time: In Out
Person in Charge Purpose:
Routine
Follow-up
Complaint
Initial
REGULATION I COMPLIANCE REMARKS OR �
Yes No I RECOMMENDATIONS
Signs Posted [MGL 270/6] I I f( '
Permit Posted [VIIa] I I �I
D.O.R. License � I ,�' �-- ���� (,�
_�
Employee Signed Forms
Kept on File [VIIb] I �'�11/e-� �U�'�( �����
Self-service Displays
On Counter and Within 1 �
5 Ft. of a Clerk [VIIdJ V
No Floor Displays [VI Id] � � I I ..�� ��g.- ����5 ��-- ����,��
No Tobacco Products ,.L � ��— a�1��
Free of Charge [VIIc] I x + ( � '�'� �--"UC��
Comments
Inspector: „
�
Person Interviewed: ���
07/22/96