HomeMy WebLinkAbout2016 FMC SUMMARY OF VIOLATIONSV a%W e I e � r A.J { t„.I _ 44 C [.i- r-- L/ t., ..� a , IV a �..
Address: 9 00� :c�G
[� There were NO violations observed during this inspection.
Notice to' Comply: Minor Violations were found during this inspection as noted in the following
Summary of Violations.
The violations indicated in this inspection report .must Abe .corrected within 30 days,,:unless
otherwise noted.
Formal enforcement maybe initiated for any violations noted, and for those not corrected in a
timely manner. This report does not represent that there are n6other violations. at this facility. A
re- inspection may occur to determine compliance status.
Q1 infirm ®RV nF VInI ATIONS
CERTIFICATION .OF RETURN, -TU c:UMrLiANt+t
1 certify that the violations noted above on this Notice to :Comply /Summ.a.ry 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
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V- 11^..,- Phieinccc r~nnv to hP sent in after Return -to- Compliance mK-- rrevention cervices �.uNy
Owner /Operator: , Fur- t ' C
Facili : ' W0 cat.. Pt, .f _5�aZ, k. r0.?Z_ L i tg "
'Address :, �sO� 4_- P.Lj tj 6 ► t�
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There were NO violations observed during:this inspection.
Notice to Comply: Minor Violations were found during this inspection as noted in the following
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 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.
St immARY OF VIOLATIONS
CERTIFICATION OF RETURN TO COMPLIANCE
certify that the violations noted above on this Notice to Comply /Summary of Vi olations.have..been
corrected: I .have personally examined any documentation attached to the certification. to establish that
the violations have been corrected.
Signature:
FT
Print Name:
FiTa7te: -
KPS #8446
r11.._:____ fl -, V=11AXA1 R icinAcs r.nnv to he sent in after Return -to- Compliance Pink — Prevention Services Copy
Owner /Operator: c;404k1 54zr c;1�7 5 / t
Facility: �,t ` 1�."( z � < IAJI
Address: p rjb-4<�L`�
Notice Of Violation.;` Class ll'and /or'C/ass l Violations were found during this on pection as
oted in the following Summary of Violations::.'
- .
;The violations indicated in this inspection report. must be `correc #e.d within 30 `days, unless
otherwise noted:
Forma enforcement Will be initiated for all Class Vio.lationa, and for any Class II 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 determine compliance status:
SUMMARY OF VIOLATIONS..
Item
REQUIREMENT FOR CORRECTION
DATE :FOR
CATION
VIOLATION.
OF VIOLATION:.
CORRECTION
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Inspectors -
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Received by:
Phone:" C 5
Print Name:... I•: {
Date: a (I
7.Date:
KPS #8447 .
White = Business,copy Yellow - Business Copy to be sent in after.Return -to- Compliance Pink Prevention Services Copy
GLASS 11 AND ULASS 1 VIOLATIONS
Owner /Operator.
Facility: ',A. C- S C. Cs r r �v
Address:
- `
Not ce .0f Violation: Class Hand/or Class l Violations were fund durin.g_this inspection as
noted in the following Summary of Violations.
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'does, o-t7represent that there a:re
violations at this facility. 'A re- inspection may occur to determine compliance status..
SUMMARY OF VIOLATIONS
KPS #8447
Whiter Business Copy Yellow = Business Copy, to be sent in after Return -to-Compliance Pink- Prevention Services Copy
Owner /O- erator: 4
Facility:.:. . I C r r"L 1\J6 Ico
Address: 3 6q _A--'
S1IMMARY OF VIOLATIONS:
KPS #8447
White —Business Copy Yellow – Business Copy to be sent in after Return =to- Compliance Pink - prevention services Copy
Notice Of Violation: `Class 11 and /or Class l Violations were found during this inspection as
.noted in-the following Summary of Violations.:
The.violations indicated i n this inspection report must:be corrected within 30 days, unless
otherwise noted..
Formal- enforcement will be'initiated; for all Class] 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 determine compliance status.
S1IMMARY OF VIOLATIONS:
KPS #8447
White —Business Copy Yellow – Business Copy to be sent in after Return =to- Compliance Pink - prevention services Copy
CLASS11 AND GLASS -1. VIOLATIONS
O.Wrier/Opera to r:
r-
Tacility::
K A�27 4: IL
Address: t--'n I
Q -IUUAR
I V nF VICM ATIONS
ce Of'Vio n ss- I Wohitions were-found during this inspection as -
1460' ClOss:. H cindldr C/ci
noted, in the following SOmMary. of Wolation's.
The violations indicated .1in.this,in'spection report must be corrected within 30 daps, unless ..
Otherwise noted.
Formal enforcement, will be i n M t e d for all Classl Violations and. for any Class j I violations not
cI orrected within the required. time'fran e This. repo r t does. . not repres. ent that there ar: e no other
v i o lation s at -this fac ilit y. Xre- inspection may occur r tb.determine comp H ance status.
Q -IUUAR
I V nF VICM ATIONS