HomeMy WebLinkAboutClass 1 & 2 Violations 8-31-16_2-10CLASS 11 AND CLASS] VIOLATIONS
Owner /Operator:
Facility:.. -
Address:
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Notice Of.Violatid {C /ass •hf and. /or, Class 1) Violations were found during this inspection as
noted in .the following Summary of Violations.
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The violations indicated in this inspection report must be corrected within 30 days, .un less
Item
otherwise noted.
Formal enforcement will be initiated for all: Class I Violations; and for any Class 11 violations not
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DATE FOR
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 com p Iiance status:
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SUMMARY OF VIOLATIONS
Item
RE:QUIREMENT.FOR CORRECTION
DATE FOR
VIOLATION'
OF VIOLATION..
CORRECTION'
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Received bye
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Print Name.
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KPS #8447 .
White Business Copy Yellow— usiness Copy,to:be sent in after Return -to- Compliance Pink = Prevention Services Copy