HomeMy WebLinkAboutsb989 nov 6-2017Owner/Operator: ~- L 12 n P /.
Facility. 97
Address: o�
SI JIMMARY OF VIOLATIONS
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Notice Of Violation: Class ll- and /or Class l Violations were found .during .this inspection as.
noted in the following. Summary of Violations.
Inspectors Y-
Signature:
The- violations indicated in this inspection report must be corrected within 30 days, unless
Print`. Name: r
otherwise noted.
Dates '
Formal enforcement will be initiated for all Class l Violations, and for any Class ll violations not
corrected within the required timefrarne. This report does not represent' that there are no other
spection may occur to determine compliance status.
violations at this facility. A re -in t
SI JIMMARY OF VIOLATIONS
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KPS #8447
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Received by.
Inspectors Y-
Signature:
Phone: -�_ :° t
Print`. Name: r
Date: C _
Dates '
KPS #8447
White Business Copy Yellow — Business Copy to be sent in after Return.. =to- Compliance Pink Prevention Services Copy