HomeMy WebLinkAboutUST-VIOL NOTICE 5/19/2015Owner /Operator:
Facility:
Address.
There were NO violations observed during this inspection
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Notice to Comply; Minor Vidfations.were found during this inspection as noted in thelollowing
Summary of Violations.
T`he 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,
CERTIFICATION OF RETURN TO COMPLIANCE
certify that the violations noted above on this Notice to Comply/summa,ry Hof Violations have been
corrected. :l have personally "examined any documentation attached to the certification to establish that
the violations have been o`orrected.
Signature: .
Print Name:
Date;
KPS #8446 .
M �..:, vonn%Af _ Ri icinacc (nnv to he sent in after. Return -to- Compliance Pink - Prevention Services Copy
pax'
Owner /O erator:
Facility: 14,c 0
Address: t�2 L-I -z) > .�,•� �_f� . � ,.,J
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION.. DATE FOR
# OF VIOLATION CORRECTION
J"te r "tit+ i•C . �.f Er' a_`-'+
Inspectors
Received by:
Z /j,
Signature::,_, _
Phone: Print Name :,
Date: �, . - �. :;�
Date: ;-- ,'� f; �� � �
KPS #8447
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy
-- Notice Of Violation, J Class It and /or Class l Violations were found during. this inspection as
noted in the following Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be. initiated for all Class I Violations; and for any Class I l 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.
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION.. DATE FOR
# OF VIOLATION CORRECTION
J"te r "tit+ i•C . �.f Er' a_`-'+
Inspectors
Received by:
Z /j,
Signature::,_, _
Phone: Print Name :,
Date: �, . - �. :;�
Date: ;-- ,'� f; �� � �
KPS #8447
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy