HomeMy WebLinkAboutUPI CHECKLIST 4/16/2015Owner/Operator: 7. -,,j
facility -j,:;,
Address: A 13
w
Notice Of Violation: Class 11 and /o - ss l Violations were found during this inspection as
noted in the ,following 'Summary of Violations.
Item
#
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] Violations, and for any Class II violations not
corrected within the required timeframe. This report, does not represent that there are no other
Uz oto f�.
violations at this 'facility. A re- inspection may occur to ,determine compliance status.
SUMMARY OF VIOLATIONS
Received by
4
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION.,
E L C"; C 71—U' , 4 i..,v, -rc' pi'T..E ? J'
Uz oto f�.
5 ^. i ✓ , '
� 2 � P' C i(. h 12 a,A. ..1 o €Z, � i � i �J 4 i'• � �. f
Cy' j` ( fA , .
" yr A l r,4 w4 i>- L) 1� 3 "iii ' i /�
1 iC. i C ; L.v t-t ni t S"vt'9� . A-141
AJ C Ir VVt.oU C i 6' C-' LC..
£� i Z AA_A 2.:x'6,1 i ✓V G" L D ?- i : ^ '_-'. U41 A c-' 3- t " e i)
C_ 0 0, e,4 ,,v V ""T`0- s'�''.. d X� f i AX, 5-
Lo t _r(_' L- k u li t, y .? `t t, C r« F: r
tic J
i�'
1.�•• i .ice' �:. �f ..�.% Y ,l.J��' ,! '.../ \�r.� ^ /�-� wr. d
{ ^l""i Y..��
1..—
i t i L tJ� .°fr C✓ Y .¢ �{ �.�5yj �J (''} jj �{
rf • f �� �i,°� da% fY P�
(,w^� fq ...�+ /J y� e5
C Kli{V� �,�/�y ^y ivi .4% tL/i5, � 1 ✓ V/
d- C i^C..✓�Cl� - ;..'+S�v'' E 9+.Ci�sr% a' F'- e.'C-E Fec PfS p _
, ZC. 4--11'Ci U ..-, A .. L. i ray. L t
�C'*tU,1'
Inspectors f
Signature: .--' -- -
Received by
4
Phone: - r ,. cam;
TPrint :Name: �..�
, .
Date: '�c J, -
Date:
KPS #8447
White - Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy