HomeMy WebLinkAboutCLASS II VIOLATIONS 9/8/2015CLASS 11 AND CLASS I VIOLATIONS
Owner/Operator: ` A C,
Facility: :Z,`7 - I t
Address: i L�j 01H 01-
SUMMARY OF VIOLATIONS
this inspection as
Item
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Notice Of Violation: Class H and /or Class l Violations were found during
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, initiated for all Class 1 Violations, an.d.for any Glass Il 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 d'eterrnine compliance status:
SUMMARY OF VIOLATIONS
this inspection as
Item
#
VIOLATION
REQUIREMENT FOR -CORRECTION
OF VIOLATION
-DATE FOR
CORRECTION
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PZ 101 C_
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'Inspectors �--~
Signature:
Received by:
Phone: �. �'-
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Print Name:
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Date: C' t° r"
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KPS #8447
White `— Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink - Prevention Services Copy