HomeMy WebLinkAboutCLASS II & CLASS I VIOLATIONS 10-27-2015Owner/Operator': V1
Facility
Address: _.
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Notice. Of Violation: ;lases nd /or Class I Violations were found during, this inspection as
noted in the following Summary of. Violations.
VIOLATION
The violations indicated .in this inspection report must be.corrected within 30 days, unless
DATE FOR
CORRECTION
otherwise noted:
Formal enforcement will be initiated for all Class I. Violations,. and for any Class I I violations not
corrected within the required timefrarne. This report'does not represent 'that there are- no other
-A A U V rO J L IL , COS 1 2 �
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
Fpate:
-A A U V rO J L IL , COS 1 2 �
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Inspectors
Signature;
. ,� / -
Received by:
Phone:
Print Name:
[_DW-er
Fpate:
KPS #8447
White -- Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy