HomeMy WebLinkAboutVIOL. CLASS 1/2 10/15/2013Owner/Operator:
Facility:
Address:
Inspectors
'signature
Notice Of Violation. Class H and /or Class I Vio /ations.were found during this inspection, as.
noted in: the following Summary of Violations.
Phone: -.739 79
The violations indicated. in this inspection report must be corrected within 30 days, unless
Date:
otherwise noted.
Formal enforcement will be initiated for all Class l Violations, and for any Class 11 violations not
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 compliance status.
Inspectors
'signature
r ,
Received by: { a r
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Phone: -.739 79
Print Name: 4 ,
Date:
Date: i' = n
KPS #8447 1
White — Business Copy Yellow - Business Copy to be sent in after Return- to- Cornpliance Pink — Prevention Services. Copy