HomeMy WebLinkAboutCLASS II & CLASS I VIOLATIONS 1-15-2014Owner/Operator:
Facility: -?
Address:
SUMMARY OF VIOLATIONS
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Notice Of Violation: , Class H and/or Class / Violations were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations indicated in this :inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for all Class. I Violations, and for any Class 11 violations not
corrected within the required timeframe. This report not represent that there are no other
violations. at this facility. Are-: inspection may.occur to determine compliance status.
SUMMARY OF VIOLATIONS
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VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Inspectors
Signature-.
Received by:
1
Phone:
Print Name:
Date: j. -
Date:
KPS #8447
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services 'Copy