HomeMy WebLinkAboutFMC Minor Violations 12-27-16Owner /Operator: P& 4A:e P. AJ
Address: 6 sit �5 (",
There were NO violations observed during this insp. ection,
Notice to Compl) : ►n Violations were found during this ins ection .as noted in the o
owing
Summary of Violations
The violations indicated in this 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.
eo.InennnDV nG ® /Inl ATInNS
Item
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- REQUIREMENT FOR CORRECTION OF..
.' DATE FOR
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VIOLATION
VIOLATION N
CORRECTION .
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certify that the .violations noted above on this Notice, Cflmply /Summary of Violations have been
corrected. I have.personally examined any documentation attached to ahe certification to establish that
the violations have .been corrected.
Signature:
Tifile:
Print. Name:
PTat7e. .
KPS #8446
,A1�U_ o....:...� ^,....; ValfrM, RiicinPSS Cnnv to be sent in after Return -to- Compliance Pink — Prevention Services Copy