HomeMy WebLinkAboutVIOLATION NOTICE 1-20-15Owner /Operator: v t
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There were NO veofations observed during this inspection
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Notice to Comply: Minor Violations were found during this. inspection as noted in the following
Nr
Summary of Violations.
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
f*carocif%A rink nF RGTI IRN Tn MMPI -IANCE
I 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 to establish that
the violations have been corrected.
Signature:
Title: .
Print Name: - -- } ,' l k°'' t 4//". A c -
Date:
KPS #8446
VgAmAt — Ri minACC r:nnv to he sent in after Return -to- Compliance Pink — Prevention Services Copy
Received by.°—
Inspectors
Sgnature:� -- .-
Phone�,
Print Name: �;= U`"f >w
Date:; _ dri-
Date:
f*carocif%A rink nF RGTI IRN Tn MMPI -IANCE
I 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 to establish that
the violations have been corrected.
Signature:
Title: .
Print Name: - -- } ,' l k°'' t 4//". A c -
Date:
KPS #8446
VgAmAt — Ri minACC r:nnv to he sent in after Return -to- Compliance Pink — Prevention Services Copy