HomeMy WebLinkAbout NOV 2016CLASS II; AND . CLASs I VIOLATIONS
Owner/Operator: L 1 _ M" 1-r4
Facility: ± 0� b 1
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Address:
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RtIMMARY 0F:•VI0LAT'I0NS
Item
Notice Of Violation.: Class H and /or Class l Violationswere found during this inspection `.as
noted in the• following. Summary of Violations.
. REQUIREMENT FOR CORRECTION
The :violations indicated 'in this inspection report mus be corrected within 34 days, unless
otherwise noted.
OF VIOLATION . ,
Formal enforcernent will be. initiated for all Class l Violations, and for any Class;.) l .violations not
corrected Withi -n the required, timeframe: This report.does not represent that there are no other
violations at this facility. A ire-inspection may occur to determine :cornpliance status:
RtIMMARY 0F:•VI0LAT'I0NS
Item
"
. REQUIREMENT FOR CORRECTION
DATE FOR
VIOLATION
OF VIOLATION . ,
CORRECTION
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Inspectors'
Received by:
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Phone: •^ }� _
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Print,Narne: •
Date: p
Date.
KPS #8447
White'_ Business 'Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink Prevention Services Copy `