HomeMy WebLinkAbout NOV 2017Notice Of Violation: Cass 11 and /or Class l
ioNations were found during this inspection as
u
noted in.-the following Summary. of Violations.
The violations indicated in this inspection report
must be corrected within 30 days, unless
otherwise noted.
Formal`.enforcernent will be initiated for all Clas
- I .Violations, and for any Class II violations not
corrected within the required tifneframe.:This rE
port does not represent that there are.' no. other
violations at this facility. A re- inspection may o
`cur to determine compliance status:.
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SUMMARY OF
VIOLATIONS
Item
REQUIREMENT
FOR CORRECTION
DATE FOR
VIOLATION
OF VIOLATION
CORRECTION
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Inspectors...
Rec
.ivied by:
Signature: �S
Phone:, --- .-'a. #=�
Prin
Name:.
Date: t . <
Date:
KPS #8447
White — Business Copy . ' Yellow - Business Copy to be sent
in after Return:-to-Compliance Pink — Prevention Services Copy