HomeMy WebLinkAboutVIOL. CLASS 1/2 11/23/2015Owner /O erator:
Facility: "; 71�5;nn
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Address:
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Notice. Of Violation: (Class Hand /or.Class I Vio /atio' were found during this inspection as
..noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations: i ndicated in this inspection. report must be corrected within 30 days, unless
otherwise. noted.
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Formal enforcement will be initiated for .all. Class l Violations;' and for any Class I I 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
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
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Lnspectors
Signature: h - . t �.�- -
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Received by :. _ -
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Phone: �° - f <-
Print Name:.,
FDate- ! l' ,'
Date:
KPS #8447 '
White Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink — Prevention.. Services. Copy