HomeMy WebLinkAboutMINOR VIOLATIONS 11-15-2013Owner /Operator:
SUMMARY OF VIOLATIO
have been
to establish that
Facilit r "57. 5 And
Item
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REQUIREMENT FOR.
CORRECTION
There-w- ere NO violations observed during this inspection
DATE FOR
Date:
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Minor Violations were found dunn thin
Notice to Comply: g
inspection as
P
noted in the following
n
.11t/ I i
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 thosei
not corrected in .a
timely manner. This report does not represent that there arn
no other violations
at this facility. A
re- inspection may occur to determine compliance status.
a
certify'that the violations noted above on this Notice to Comply /Surnmary
corrected. I have personally examined any documentation attache
the violations have been corrected.
SUMMARY OF VIOLATIO
have been
to establish that
Signature:
Item
F Title..
REQUIREMENT FOR.
CORRECTION
OF
DATE FOR
Date:
#
VIOLATIO N
VIO
TION.
CORRECTION
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Inspectors w:'=
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Received; by: ,-'
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Signatures.
Phone: i
Print Name:
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Date:..; ji hg�h
Date:
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certify'that the violations noted above on this Notice to Comply /Surnmary
corrected. I have personally examined any documentation attache
the violations have been corrected.
of Violations
to the certification
have been
to establish that
Signature:
F Title..
R-i
Print Name:
Date:
KPS #8446' I -
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