HomeMy WebLinkAboutMinor Violations 11-10-15 (South)Owner /Operator: ,�, L,,: C..1.Vin �_7 F_ ; L � 0 L 47— 0 ..
Address: - -3. --:k_-; f i
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 corrected.:within 30 days, unless
otherwise noted. R "
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.
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Item
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VIOLATION.
REQUIREMENT FOR CORRECTION OF
VIOLATION
DATE FOR
CORRECTION
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Inspectors
Signature:
Received by:
Phone: f� - !� " ' _4 0
Print Name:
Date: I i
Date:
rcb rich ATIMI nG DGTI WN Tn r- nMPLIANCE
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 boen corrected.
Signature: J ;t
Title:
Print Name: ! e ,(rt f,
Date:` /
KPS #8446
v_iiA , - [a,.oi„aoe r^nn,i +n np _QPnt in affer Return -to- Compliance Pink — Prevention Services Copy.
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