HomeMy WebLinkAboutCLASS II & CLASS I VIOLATIONS 1-6-2014Owner/Operator:
Notice Of Violation: Class ll and /or :Class I Violations were
noted in. he following- Summary of Violations.
found during
1
Item
#
'Facility;
, e corrected
otherwise noted.
Address:
,�.���s� =.�',
Formal enforcement will be initiated for all Class 1, Violations;
and for any
SUMMARY OF VIOLATIONS
Notice Of Violation: Class ll and /or :Class I Violations were
noted in. he following- Summary of Violations.
found during
this inspection as :
Item
#
The Violations _indicated in this `inspection report must
, e corrected
Aiithin 30 days , unless
otherwise noted.
Formal enforcement will be initiated for all Class 1, Violations;
and for any
Class 11 violations not
corrected within the required timeframe. This report does not
represent that
there are no other
violations at this'facility. A re- inspection may occur to detei'mine
compliance
status:
SUMMARY OF VIOLATIONS
Item
#
VIOLATION.
REQUIREMENT
OF V
FOR CORRECTION
OLATION*
DATE FOR:
CORRECTION.'
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Inspectors,
Signature.
Received
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Phone: �,-
Print Name.
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Dater :
Date:
KPS #844,7
White - Business Copy Yellow - Business Copy to be sent in. after .Return
-to- Compliance
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