HomeMy WebLinkAbout2525 white ln fmc class 1 class 2 violations 6-1-16LASS 11 AND CLASS IOLATIONS
.Owner /O eratar:
ac' i#y.
address: ' •�7 r 1
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Notice Of Violation'. ,Q lass- li~and/orLpasOViolations 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. .
Forma enforcement will be initiated for aIf Class`1 Violations, and for any Class II violations not
corrected Within the required timeframe. This report does not .represent that there ' re' no other
OF VIOLATION
violations at this. facility.. A re- inspection: may occur to .dete'rmin,o .comp'lia;nce StatuS.
SUMMARY OF VIOLATIONS
Item
REQUIREMENT. FOR CORRECTION
DATE'FOR
VIOLATION.
OF VIOLATION
CORRECTION
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Inspectors '
Received by: r
Si nature:
Phone:
Print Name: v4
Date:
Date:
KPS #8447
White — Business Copy Yellow - Business Copy to be sent. in after Return -to- Compliance . Pink —Prevention Services Copy