HomeMy WebLinkAboutFMC Minor Violations 11-15-16Owner /Operator: ,,- . r�. c_� L /L& y71- „c.4cz 4 -...
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F1 There were NO violations observed during this inspection.
Notice to Comply:. Violations were found during :this inspection as noted. in the: following
summary of Violations.
The violations indicated in.th:is 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.
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REQUIREMENT FOR CORRECTION OF
DATE FOR
VIOLATION.
VIOLATION
CORRECTION
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Inspectors: f _.
Received b Y - -.:
Signature:
Phone: �` .
Print Name::.
Date::
Date: 1/1 i.
:...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 establis -h that
the violations' have been corrected.
Signature:
Title:
Print Name:
Date:
KPS #8446
V. 11—A. — CL feinece r_nnv t� nA -QPnt in after Return -to- Compliance Pink — Prevention, Services Copy -