HomeMy WebLinkAboutMINOR VIOLATIONS 2-18-2014Owner /Operator: :� ` :,r :` �; c".
VIOLATION
Facility: A
Add.r-e'ss: -
There were NO violations observed during .this inspection:
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Notice to Comply: Minor Violations were found during this. inspection. as. noted in the following
.Summa ry 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 a,
timely manner. This report does not represent that there are no other violations at this facility. A
re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION OF
VIOLATION
DATE FOR
CORRECTION
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Inspectors
Signature: _
_
Received b r
y .
Phone: 7,
Print Name:
Date:
Date:
CERTIFICATION OF RETURN: TO COMPLIANCE
I certify that the violations noted above on this Notice to Comply /Summary of Violations have been
corrected. 1 have personally examined any documentation attached to the certification to. establish that
the violations have been corrected.
Signature:
Title:
Print Name:
Date
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