HomeMy WebLinkAboutNOV 2015 (3)Owner /Operator: ,
Received by:
r'/ L rJ.
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There were NO violations observed during this inspection.
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Notice fo�Comply: Minor Violat►onswere found duri ng this inspection as noted in the following
Summary of Viola ions.
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 '
tim I ly. 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
�+co-roicoc*eTSnn1 nG 1 1=T1IRM Tn ['_[WPI_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:
Date:
KPS #8446
ho cant in.afFar Rat.Irn- tn- Cmmnliance Pink Prevention Services Copy
Received by:
r'/ L rJ.
Inspectors
Signature: '-,� -...- t', _.
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Print Name:. � e i ` i
Date: "AAA"A '"'
Date: l
�+co-roicoc*eTSnn1 nG 1 1=T1IRM Tn ['_[WPI_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:
Date:
KPS #8446
ho cant in.afFar Rat.Irn- tn- Cmmnliance Pink Prevention Services Copy