HomeMy WebLinkAboutViolations #2 11-10-15 (North)Owner /Operator:!
Address:
'�
:
[] 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 h 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.'
`
Received by: 9
-' %��
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION OF
VIOLATION .
DATE FOR
CORRECTION
I
ro /C, = l 0
�s5 � ,� es rte
m
c .
26 9
- b -'tl`L Oi4-9 fv�•Jr i 1
.'.<
�G 4 � 1>t`.:> Q LAM -5 i . i CC ! �.Y}"
�l r� L� 4 i e G �"i dt { �# L S
rte`' 1 11161141.
a� _ d .
4 ve - 4tos !
r:te°/i a c /6 :,( { �J f id±�i . rrLie ,l ii
L��3
zE
Inspectors .-
isi gnature:,,
`
Received by: 9
-' %��
Phone: - ;; - =Q
Print Name:
Date: c
Date:
CERTIFICATION.OF RETURN TO COMPLIANCE
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
Vc11 —A. - Pi loinccc 1 nrni fn he ecnf in nftmr Rati 1rn- tn_f'.mmniinncP Pink - Prevention Services Coov