HomeMy WebLinkAboutVIOLATIONS 5-17-16CI'IRARAARY M: VICKI ATInNS -
Item
Notice Of Violation: QClas_sand /or: Class I Vio /ations were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
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 II violations not
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corrected within the required timeframe. This report does not represent that there are no. other.
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..violations at this facility. A re- inspection may occur to determine compliance status.`
CI'IRARAARY M: VICKI ATInNS -
Item
REQUIREMENT FOR CORRECTION
DATE <FOR
VIOLATION
OF VIOLATION
CORRECTION:
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Signature:
Phone: p = C,
Print Name. f a
Date: r
Date:'
KPS #8447'
White - Business Copy. Yellow — Business Copy to be sent in after Returri -to- Compliance Pink - Prevention Services Copy.