HomeMy WebLinkAboutVIOLATION 12/15/2014ULASS 11 AND t LASS.I VIOLATIONS
Owner /O erator: k,.zq �-;
Facility: ; :: G-
Address: F-
SUMMARY OF VIOLATIONS
Notice Of Violation: Xlass l/ and /or Cass l Violations were found during this inspection as
noted' in the following Su ary of Violations.
The violations indicated in` this inspection report must be corrected within 30 days; unless
REQUIREMENT FOR CORRECTION
otherwise noted...
Formal enforcement wila be initiated. for all Class I Violations, and for any Class II` violations -not.
corrected within the required imeframe. This report does not represent that there are no other
OF VIOLATION
'
violations at this facility. A re- inspection may. Occur. to determine compliance status.
SUMMARY OF VIOLATIONS
Item
REQUIREMENT FOR CORRECTION
DATE FOR
VIOLATION
OF VIOLATION
'
CORRECTION
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Inspectors
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Phone: ; yA ,
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Print Name:
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Date
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KPS #8447
'White — Business Copy
Yellow - Business Copy to be sent in after Return -to- Compliance..
Pink — Prevention Services Copy