HomeMy WebLinkAboutNOT. VIOLATION CLASS 2 5/1/2015NOTICE OF VIOLATION / SUMMARY OF VIOLATIONS
CLASS 11 AND CLASS 1 VIOLATIONS
Owner /O pe- rator: . t s-r LAA
Facility: Lj S C, r. 4, � ������ � ��►
Address: % 5C. n FO C _0 VO !4 L7
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Notice Of Violation: Class 11 and /or Class I 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, unless
REQUIREMENT FOR CORRECTION
OF VIOLATION
.otherwise noted: -
Formal. enforcement will be initiated for all Class 1 Violations, and for any Class II violations not
corrected within the required timeframe. This report does not represent that there are no other
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violations at this facility. A re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
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Received by
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VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Inspectors`
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Signature: '. ^
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Received by
Phone:Ctii
Print Name:
Date: Y "{ `--
Date:
KPS #8447
White =- Business Copy Yellow — Business Copy to. be sent in after Return -to- Compliance Pink — Prevention Services Copy