HomeMy WebLinkAboutMinor Violations 3-18-16 pg. 2Owner /Operator:. �-
Facilit
Address:
There were NO violations observed during this inspection
r
Notice to Comply: . Minor Violations were found during this inspection as noted in the foilowi.ng
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' This report does not represent that there are no other violations at this facility: A
re- inspection may occur to determine compliance status.
Sl1MMARY OF VIOLATIONS
�- CERTIFICATION OFD RETURN TO COMPLIANCE
certify that the violations noted above on. this Notice to Comply /Su.mmary 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:
F Date:.
KPS #8446
IA►h iF.-. D*.__ r, ^n., - - vpunw — RusinPSS Conv to be sent in after Return -to- Compliance Pink — Prevention Services .Copy