HomeMy WebLinkAboutMINOR VIOLATIONS 12-28-2012Owner /Operator:
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Facility:,'
Item R
Address: ("A- 3_�
REQUIREMENT FOR C
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There were NO violations observed during this inspection.
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Notice to Comply: Minor Violations were found during, t
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is inspection as noted in the following
Summary of Violations.
The violations indicated in this inspection report must
a corrected within 30 days, unless
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otherwise noted.
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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.
SUMMARY OF VIOLATIO�js
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Item R
VIOLATION
REQUIREMENT FOR C
CORRECTION OF D
DATE FOR
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certify that the violations noted above on this Notice to.Compfy /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
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KPS #8446
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