HomeMy WebLinkAbout2015 VIOLATION NOTICEOwner/Operator: 0�A vim' S -rJ A.
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StIMMARY OF VIOLATIONS
Item
Notice Of Vio /ationOC/ass ll andfor Class. I 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
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otherwise noted:
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Formal enforcement will be initiated for all Class l Violations, and for any Class. I I violations not
corrected within the required timeframe. This report does not represent that there,arer no other
violations at this-facility. A re-inspection may occur to.determine compliance status.
StIMMARY OF VIOLATIONS
Item
VIOLATION
REQUIREMENT FOR. CORRECTION
OF VIOLATION
DATE FOR.
CORRECTION .
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Inspectors -,- <_—
Signature:
Received by:
Phone: _-
Print Name: "
Date:
Date
KPS #8447
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Yellow = Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy