HomeMy WebLinkAboutMinor Violation 2016Owner /Operator: c i -
Facifity: ) }r Lady. :�6 _x?
Address:
0 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 co, rected in a
timely manner. This report does not represent that there. are no other violatio' ; t is facility: A
re- inspection may occur to determine compliance status.:
CERTIFICATION OF RETURN Tv GUMP,LIANt+t
Icertify 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 hat
.ther:violatibns-have* been corrected.
Signature:
Title:
Print Name:
Date:
KPS #8446
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