HomeMy WebLinkAboutFMC Violations 3-2-2016OwnerlO erator:
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Cl to U&PV nG VIM ATIC) R
Item
Notice Of Violation: Class ll and /or Class l Violations were found during this inspection as
noted in -the following` Summa ► of Violations: '
Y
REQUIREMENT FOR CORRECTION.
"The .violations indicated in thin inspection - report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for al.l Class I Violations, and for any Class Il violations not
OF VIOLATION.
corrected within the required timeframe. This report does.no"t ;represent.that there... are no Other
Violations at this facility. A re- inspection may occur to determine.compliance status.
Cl to U&PV nG VIM ATIC) R
Item
6
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REQUIREMENT FOR CORRECTION.
DATE FOR
VIOLATION
OF VIOLATION.
CORRECTION
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Item
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Notice Of Violation. Class ll'and /or Class/ Violations were found during this inspection as
noted. in the:fo lowing Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations indicated in this inspection report must be corrected within 30 days, un ess
otherwise noted.
Formal enforcement will be initiated for'all Class I Violations, and for any Class 11 violations not
f U , LAO L � ✓11: f1.1/ : /,/i M") � �✓• '.iv.
corrected within the required timeframe. This report. does not represent that there are.41p, other.
violations at this facility. A re- inspection may occur to determine compliance status
et tnnnd ®QV nF' \ /In! ATIONS
Item
#
VIOLATION -
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Owner /Operator. <-
.Facility. s �- t ct; { 5 ; 7, �7r -_. aJ( fG� r
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 corre.cted'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,, not represent that.there are no other violations at this facility:.. A.
re- inspection :may occur, to- determine compliance status.
MINOR VIOLATION5
Notice to Comply: Minor Violation's were found during this inspection as noted in th`e 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., '
SUMMARY OF. VIOLATIONS
REQUIREMENT FOR CORRECTIC?N :OF
DATE FOR
Item
VIOLATION
VIOLATION '.
CORRECTION
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Inspectors :.
Received by
Si nature:
g
Phone: ` - % ^
Print`.Name:: ' , Vil
Date.: a ,�
Date: :
i
CERTIFICATION -OF RETURN TO: COMPLIANCE
I'I :certify that the violations noted above on this. Notice to, 'C Summa of Violations have been
norrected. L have personally examined any documentation attached to the certification to establish that
the'Violatibris have been corrected.
Signature
.Title:
Prirnt Name:
Date:
KPS #8446
„_ �_ t___ V.=11Mei — Riicinacc r nnv to he sent.in after Keturn- to -Vomp lance rmK - r�CVG�uivi� ocrvn.ca v�,Nr
certify: 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 :that--.*
the violations have been corrected:
Signature:
Title:
Fp(int Name:
Date:
KPS #8446
4- k- .on+ in �ffmr Ratiirn_tn- Gnmniiance Pink - Prevention Services Copy
SUMMARY OF VIOLATIONS
REQUIREMENT FOR CORRECTION OF
DATE FOR
Item
VIOLATION .
VIOLATION
CORRECTION
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Inspectors
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Received by:�;
Signature:
Phone:
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Print Name: ."-
. r ����J
[Date:.
t - ` -? _:, �%:
Date:,
��...� 0 '- ■wA-rr ~ \1 ^r ricT11r3K1 -rn i4nRA1) �QiiV�F
certify: 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 :that--.*
the violations have been corrected:
Signature:
Title:
Fp(int Name:
Date:
KPS #8446
4- k- .on+ in �ffmr Ratiirn_tn- Gnmniiance Pink - Prevention Services Copy