HomeMy WebLinkAboutClass 2 #2 1-14-16Al IMMARY OF VIOLATIONS
Item
Notice Of Violation: %Class �11 ^ nd /or Class l Violations were found during this inspection as
noted. in the following S rm�mary of Violations,
REQUIREMENT FOR CORRECTION
The violations indicated. in, this: inspection report must, be corrected within 30 days, unless
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Received by:
otherwise noted..
O.F. VIOLATION
Formal enforcement will be initiated for all Class l Violations, and for any Class II, violations hot.
nature; ..-
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.
Al IMMARY OF VIOLATIONS
Item
Inspectors
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REQUIREMENT FOR CORRECTION
DATE FOR
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VIOLATION
O.F. VIOLATION
CORRECTION
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Inspectors
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Print Name: Xj�r.,'':
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Date:
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Date:
KPS #8447
"White - Business Copy
Yellow— Business. Copy to. be sent in after Return-Ao- Compliance Pink --s-,Prevention .Services Copy