HomeMy WebLinkAboutNOTICE OF VIOLATION 8-26-15Owner/Op erator:
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Address:
SUMMARY OF VIOLATIONS -
Itelm
Notice Of Violation: Cass ll: and /or.Class l Violations were found during this inspection as
noted -in the following :Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION;
The violations indicated in this. inspection report must be corrected within 30: days, unless'
otherwise noted.
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Formal enforcement, will be initiated for all. Class I Violations, and. for' any:QlasS 11 violations not
corrected within the required: timeframe. This report does, not represent that there are no other
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violations at this facility. A re- inspection may occur to determine compliance status:
SUMMARY OF VIOLATIONS -
Itelm
..
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION;
DATE FOR
CORRECTION
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Inspectors
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Signature: --�- :,r = ';.�- .,;,,�
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Received by: ,.•-"
Phone: : 11
Print Name:
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KPS #8447.
White - Business Copy Yellow - Business Copy to be sent in after Return- to- Compliahce Pink'- Prevention Services Copy
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