HomeMy WebLinkAboutMINOR NOV 9-24-18Owner /Operator. A R-.
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There were NO violations observed: during this inspection
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CORRECTION
y g is inspection as noted in the following
Nonce to Corn l : aMl car Violations were found durin the
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Summary of Violations:
The violation's :indicated in this] n:spection report must be corrected within 30 days, unless
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otherwise noted.
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Formal, enforcement maybe initiated for any violations noted, and for those not corrected in .a
timely manner: This report does -not represent that there are no other violations at this facility. A.
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re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
REQUIREMENT FOR CORRECTION OF
DATE OR
F I
(tern
- `VIOLATION
VIOLATION.
CORRECTION
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Received by.
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Phone: `
Print Name; >, " -It 14 V yfi
Date: --
Date. _X ;
CERTIFICATION OF RETURN TU UUrnrLlANt t
certify that the violations noted above on this Notice to. Comply /Summary of Violations ,have been
corrected. `I have personally examined any documentation attached to the certification to establish that
the violations have been corrected.
Signature;
Title:
Print Name: :.
Date:
KPS #8446
. v_u_..: o..., 1- -mi +� ha cant in nffar Return- tn- U0mDnance rinK r'Peventiuii at:,-rv,Lr,a vVFY