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Formal enforceme.nt.Will be initiated for all Class l Violations, and for any Class-11 ' violations` not.
Address:
corrected .within the reauired.timeframe. This report does not represent that. there are no other,
violations at this facility, A re- inspection may occur to determine com 'fiance status.
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Notice 'Of Violation: Class,' ll.'and /or Class I Violations were found during this inspection as
noted in the :following SUM ary of Violations..
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations indicated in-this inspection report must be corrected within 30 days;, unless
otherwise noted.
Formal enforceme.nt.Will be initiated for all Class l Violations, and for any Class-11 ' violations` not.
corrected .within the reauired.timeframe. This report does not represent that. there are no other,
violations at this facility, A re- inspection may occur to determine com 'fiance status.
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Item
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VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
C0�4 RRE.CTION.
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Received by ;
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Print Name: �=�; 4 cc 4 1
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KPS #8447
'White Business Copy.. Yellow - Business Copy to be sent in after Return -to- Compliance Pink Prevention Services Copy , ,