HomeMy WebLinkAboutNOTICE OF VIOLATION 1-21-14Owner /Operator:
Facility: e .``.�a�� ' 4r. ~-
Address:°`.
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION' DATE FOR
# Q OF VIOLATION CORRECTION
.,'t
",
[ yj {/ �(��//^""'���q./ a a/ pan./. '�/�'y" ,/1 !� �.Y) w,� ®(q+
1« `. �✓'G. .t Y P .Li.r41 •� "A! if �....+"'ti
�-�-
Notice Of Violatiow ~Class 11 and /or Class I Violations were found during this inspection as
noted in the following Sum am q of Violations.
Inspectors`
Signature:
The violations indicated in this inspection report must be corrected within 30 days, unless
:..
Print Name: � l
otherwise. noted;
Date: ~f _71 1~
Formal -enforcement will be. initiated for all Class I Violations,. and. for any 'Class 11 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
# Q OF VIOLATION CORRECTION
.,'t
",
[ yj {/ �(��//^""'���q./ a a/ pan./. '�/�'y" ,/1 !� �.Y) w,� ®(q+
1« `. �✓'G. .t Y P .Li.r41 •� "A! if �....+"'ti
�-�-
KPS #8447
White - Business Copy Yellow — Business Copy to be sent in 'after Return-to-Compliance Pink Prevention Services Copy
Received by:
Inspectors`
Signature:
Phone: - c
:..
Print Name: � l
Date: �" -
Date: ~f _71 1~
KPS #8447
White - Business Copy Yellow — Business Copy to be sent in 'after Return-to-Compliance Pink Prevention Services Copy