HomeMy WebLinkAboutClass 1 Violations 7-19-16CLASS 11 AND CLASS I VIOLATIONS
Owner/Operator:
Facility: LJIJOLA�--�A-L,,C-
Item
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Notice Of Violation: Class llandloX�!a�s Violations were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
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 facifity. A re-inspection may occur to determine compliance status.
Item
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VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
Inspectors
Received by:
Phone: S 6- 390 eC
Print Name:
Date:
Date:
KPSw6447
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Owner/Operator: exjj40LCg,4(-E
Facility:
Address: gabn
SUMMARY OF VIOLATIONS
Item
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Notice Of Violation: Class H and /or lass 'olations were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
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Formal enforcement will be initiated for all Class I Violations, and for any Class 11 violations not
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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
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Inspectors
Signature: LD
Received by:
Phone:
Print Name:
Date: -I- (D 1)6
Date:
KPS #8447
White — Business Copy Yellow — Business Copy to be sent in after Return-to-Compliance Pink — Prevention Services Copy
NOTICE TO COMPLY I SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator:
Facility:
Address: zaoo
❑ I There were NO violations observed during this inspection.
Notice to Comply.- 01/ indr - iolations were found during this inspection as noted in the 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
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION OF
VIOLATION
DATE FOR
CORRECTION
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Inspectors
Si nature:
Received by:
Phone:
Print Name:
Date:
Date:
CERTIFICATION OF RETURN TO COMPLIANCE
I 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:
Print Name:
Date:
KPS #8446
White — Ru-qiness Conv Yellow — Business Cor)v to be sent in after Return-to-Compliance Pink — Prevention Services Copy
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