HomeMy WebLinkAboutVIOL NOTICE 2/9/2015Owner /O. erator:. _ E-e-Prf- _
Facilit - r -). A2- bs .
Address: a
SUMMARY OF• VIOLATIONS
Inspectors
Notice Of Violation: Class Hand/or Class l'Vio/ations were foundduring this inspection as
noted, in the following Summary of Violations.
Signature:
The violations indicated in this .inspection report must be corrected within 30 days, unless
Phone:_
otherwise noted.
Date:
Formal enforcement will be initiated for all Class I Violations, and for any Class 11 violations not
corrected. within the required timeframe. 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
Inspectors
max.
Received by: Signature:
Phone:_ Print Name: ;'
Date: Date:
KPS #8447
White — Business Copy Yellow. Business Copy to be sent in after Return- to- Compfiance Pink — Prevention Services Copy