HomeMy WebLinkAboutNOTICE OF VIOLATION 12-11-14Owner/Operator: - ° '5A L
Facility: On A 00 0 -
Address:
SUMMARY OF VIOLATIONS
Item
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Notice Of Violation: Class H and /or Class ► Violations were found during this inspection as
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.
Formal enforcement will be initiated for all Class I Violations, and for any Class., 11 violations not
corrected within the required, timeframe. This report doe's not represent that there.are no other
violations at this facility. A re- inspection may occur to;determine compliance status.
SUMMARY OF VIOLATIONS
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VIOLATION
REQUIREMENT FOR� CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Received b
Phone: s� , � � `
Print Name: .� 1. lit 0,11117 > t v
Date:
-Date: � ,�. �`� °`
KPS #8447 e
White – Business 'Copy Yellow- Business Copy to be sent in after Return -to- Compliance Pink – Prevention Services Copy