HomeMy WebLinkAboutNOV 2017SUMMARY OF
Notice Of Violation: Class�U•and /or Class I
noted in the following Summary. of Violations.
Violations were found during this inspection.as.
The violations indicated, in this inspection re
port must be corrected wi #hin 30 days, unless
REQUIREMENT
:otherwise noted.
DATE FOR
Formal enforcement, will be initiated for all Clasp
I Violations, and for any Class I I violations not
VIOL ATION
corrected within the required timeframe. This report
does not represent that there are no Other,
CORRECTION
violations at this, facility:_:'A re- inspection may o
cur to determine compliance status.
SUMMARY OF
VIOLATIONS
Item
REQUIREMENT
FOR CORRECTION
DATE FOR
VIOL ATION
OF VIOLATION -
CORRECTION
y
_DAVE L '
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eke t %: `l_....r
-Ins ectors
p
Received
by: ' 1
Signature:
Phone:'
Prin
Name:
Date: <- __ - .
Dat
" 1,
KPS #8447
White — Business-copy Yellow. _ Business Copy to be
ent in after Return -to- Compliance Pink — Prevention Services Copy