HomeMy WebLinkAboutNOTICE TO COMPLY 9-4-15Owner/Operator
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There: were NO violations observed during this inspection.
` Notice to Comply: Minor. Violations were found. during this inspection as noted in the following
Suritmary of Violations. pq
The violations indicated in this inspection report must, be corrected within 30 days, unless
otherwise noted.
Formal enforcement may be ' initiated for any violations :noted, and for those not corrected in a
timely manner. This report does not represent that there are no other violations at this facility. A
re- inspection may occur to .determine compliance status.
SUMMARY OF VIOLATIONS
.Item
VIOLATION
REQUIREMENT FOR CORRECTION OF
DATE FOR'
CORRECTION
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Inspectors,
�= Received by: r
Signature:
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: X41 -a
Print Name:
Phone:
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Date: Date:
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CERTIFICATION OF RETURN T® COMPLIANCE..
certify that the violations noted above on this Notice to Comply /Summary of Violations have been.
corrected. I have personally examined any documentation .attached to.the certification o establish that
the violations have been corrected.
I.Signature: -
Title:
Print,Name:
Hbate:*.. ,
KPS #8446
van^XAI -_:a] lein'oee ( r -mv fn ha -qPnt in after Return -to- Compliance Pink Prevention Services Copy