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NOTICE OF VIOLATION 8-26-15
CLASS HAND LASS VIOLATIONS Owner /O erator: Facility: C;. - IQ'Al Address:, C,d k KPS #9447 White Copy Return-to-Compliance .- Business Copy Yellow — Business Co to�be sent in after Pink — Prevention Services Copy Notice Of Volatio :Class 11 and /or Class l Violations were found during this inspect'io:n as noted in the followin summa ©f Violati;ons.: 9 ry The violations indicated in this inspection report must be corrected within 30, days, unless Item otherwise noted. REQUIREMENT FOR CORRECTION. Formal enforcement will be initiated for• all. Class ].Violations, anal for:any Class'Il.violations not corrected within the'required•.timeframe. This report does not - represent that there are -no other, # >.. violations at this. facility. .A re - inspection. may occur to determine compliance status..' KPS #9447 White Copy Return-to-Compliance .- Business Copy Yellow — Business Co to�be sent in after Pink — Prevention Services Copy SUMMARY .OF VIOLATIONS Item REQUIREMENT FOR CORRECTION. DATE FOR # >.. VIOLATION OF VIOLATION C• ORREC'TION A EP % ",j cc: r lr 11�".._`� .. "3 f �'.f y:"i° " i+°';{' .i ru'''t".Y • /. ,'.._ ._s r° t� £. t:,+" /.. P ,C) 7 . ,A S 7 • ;}�q w1e -3�.�^ {/ %/ � i k^°' l TAY. F, F`. �4." / �'�` �K �'•� y} � jF f�/,`�� : .Wy'''{,/� (1. ) r.� , ,.� t :j� R! 't i "dW' .' I i G ^ �' "W 6. F� .�:f' d` .. /.'..r ^yam w: ,I' Inspectors :--- Received by Si nature:' ..� Phone:, Print Name: Date: i. r r Date. KPS #9447 White Copy Return-to-Compliance .- Business Copy Yellow — Business Co to�be sent in after Pink — Prevention Services Copy