HomeMy WebLinkAboutMINOR VIOLATIONS 2-12-2013Owner /Operator: .
Facility.. 8 - �. 6 F. U.
Address: ''
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There were NO violations observed during this inspection.
VIOLATION
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CORRECTION
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Notice to Comply: Minor Violations were found during this inspection as noted in the following
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summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless:
otherwise noted.
Formal enforcement may be initiated for any violations noted, and for those not..corrected in- ary
timely manner. This report does not represent that there are no other violations at this ;facility. A
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re- inspection may occur to determine compliance status.
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Item
REQUIREMENT FOR CORRECTION OF
DATE FOR
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VIOLATION
VIOLATION
CORRECTION
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Inspectors - =>
Received by: --
Signature:
Phone: / 6, ,- 4- 7 6, P Z
Print Name: V- � F) Y
Dater
Date:
ncare01f+A'r1nw1 nr 09 =T1IPKI Tn r'_nMPI 1AKIM=
I certify that the violations noted above on this Notice to Comply /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
V^11 IAY - P- oin=oo r_nnv tr% ha cant .in after Return- to- Comnliance Pink - .Prevention Services Copy