HomeMy WebLinkAbout1998 Aug 20 - Tobacco Sales Permit Inspection REport Form 1
+ t
i
�
�
�
ZUfi�i OF 3�Itrl0U1'8
BOARD OF AL�ALZS
ZOBA000 SALES PF.[�IIT II�iSPHCTIaN REPOR'P FOl2M
Business Name Date
— �� C� �ri Sh 1�i I�Qac� g�ZQT—
Business Telephone ,
�-�I " Q I �C,�
! Location Time: I�a Out
' � -• �`� I��S� yA,liMuu-I-h �� �
i
' Person in Charge Purpos�—
�"�� ��/Zo Routine_,�
Follow-up
Complaint
Initial
REGt7LATION I COMPLIANCE I REMARKS OR
Yes No RECOMNIENDATIONS
Signs Posted [MGL 270/6] ( ;� I I
Permit Posted [VIIa] I , / I I
V
D.O.R. License I I I
Employee Signed Forms `/ /�/ /�� �?�!� �'!1 - r N�s'1 �'!
Kept on File [VIIb] ( I " ( s�/a��g� � ��� �'�
Self-service Displays
On Counter and Within /
5 Ft. of a Clerk [VIId] ��
No Floor Displays [VIId] I I I
No Tobacco Products I � I I
Free of Charge [VIIc]
Comments��0,$T /'�LCG/!�� ��'/J2i� ' �S/✓��liic0� U� pyG�i3
,
Inspector: �� ��jj�/�
Person Interviewed: '
07/22/96
, a
�