HomeMy WebLinkAboutMinor Violations 11-16-16Owner /Operator: -� L fiv 6
Facility. �/ -�� +� t` w�•,..
Address:
j ] There were NO violations.observed during this. inspection.
Notice t Comp/y 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
Qtherwise 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 o ccur 'to determine compliance status.
e1IRARAAQv ATMNS'
�c�r�c�r►eTOnr� n� PI -iRN` TO COMPLIANCE
I certify that the .violations noted above on this Notice`to Comply /Summary -of Violations :have been
corrected: 1h personally examined any documentation attached to the certification' to establish that.
the violations have been corrected.
Signature:
Title:
Print Name:
Date:
KPS #8446
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REQUIREMENT FOR CORRECTION OF
DATE FOR
Item
VIOLATION ::
VIOLATION
CORRECTION
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Inspectors
Received by: `
Sig nature:.
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Phone: '%
Date;
�c�r�c�r►eTOnr� n� PI -iRN` TO COMPLIANCE
I certify that the .violations noted above on this Notice`to Comply /Summary -of Violations :have been
corrected: 1h personally examined any documentation attached to the certification' to establish that.
the violations have been corrected.
Signature:
Title:
Print Name:
Date:
KPS #8446
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