HomeMy WebLinkAboutMINOR VIOLATIONS 12-19-2012Owner /Operator:
Facility
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Inspectors
There were NO violations observed during this inspection..
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Phone:
Print Name: ,
Notice to Comply: Minor Violations were found during this inspection as noted in the following
Date:
?
Summary of Violations.
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
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.
R1 IMMARY OF VIOLATIONS
w-renw' nc D=T110M Tn r-nMP1 IAN('_F
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
f--, +„ k- Rc+i irn- +r%- f'mmnlinne-P Pink - Prevention Services CODV
Received by '�
.
Inspectors
Signature:
Phone:
Print Name: ,
Date:
Date:
?
w-renw' nc D=T110M Tn r-nMP1 IAN('_F
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
f--, +„ k- Rc+i irn- +r%- f'mmnlinne-P Pink - Prevention Services CODV