HomeMy WebLinkAboutCLASS II & CLASS I VIOLATIONS 11-15-2013Owner /Operator:
Notice Of Violation: Class H and /or Class i Violations were
noted in the following Summary of Violations.
found during this inspection as
Facility: e
The Violations indicated in this inspection report must
be corrected within 30 days, unless
Address:,
otherwise noted.
SUMMARY OF VIOLATIONS
Notice Of Violation: Class H and /or Class i Violations were
noted in the following Summary of Violations.
found during this inspection as
The Violations indicated in this inspection report must
be corrected within 30 days, unless
REQUIREMENT
OF VIOLATION'
otherwise noted.
DATE FOR
CORRECTION
Formal enforcement will be initiated for all Class I Violations
'and for any Class II violations not
corrected within the .required timeframe. This report does not
represent that there are no other
violations of this facility. A. re-inspection may occur to .determine
compliance status.
SUMMARY OF VIOLATIONS
Item
#
VIOLATION.
REQUIREMENT
OF VIOLATION'
FOR CORRECTION
DATE FOR
CORRECTION
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7- 71V
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Inspectors �-.. --
Signature:
Received by:
'hone: / m
Print Name;
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Date:
Date: ,
KPS #8447 ".
White — Business Copy Yellow --Business Copy to be sent in after Return to- Compfance Pink — Prevention Services Copy
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