HomeMy WebLinkAbout2525 white ln fmc minor violations 6-1-16Owner /Operator: ' . A .. z. f
Facfti , ILA'.f :w.F , 77 1
Address::.
There were NO violations `observed during 'this: inspection:
' Notice to Comply: Minor Violations . w ere''found during this .inspection-as noted in the following
Summa ry of Violations.
The vuolations indica #ed in this inspection :report must be:corrected within 30 days, :unless
otherwise' noted.:
Formal enforcement may be initiated for any violations ;noted, an'd for those not corrected in a
timely manner. This report does .not represent* that 'there are no Otherviolations at this facility. A
re- inspection may occur to: determine compliance :status,
- .
SUMMARY OF VIOLATIONS
Item '
'REQUIREMENT. FO.R CORRECTION :QF.
DATE FOR
# _
VIOLATION
VIOLATION.
CORRECTION
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Inspectors....
Received. by .
_
Signature.
Phone: ,-
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Print Name #
F ate: �
Date:
:
CERTIFICATION OF,RETURN TCO COMPLIANCE
certify that the violations noted above on this Notice to Comply /su'mmary of Violations have been
corrected: l have personally, examined any documentation attached to the, certification to establish that
the. violations have been corrected.
I.Signature.
Title:.
F
Print Name:..
Dater
KPS' #6446
Vollmer_ M ieinGCC (nnv to ho SAnt in after Return -to- orri lance Pink — Prevention bervices uopy,