HomeMy WebLinkAboutCLASS 2 VIOLATION 11-26-18CLASS :II AND CLASS I VIOLATIONS
Owner /Operator: : * &U/_L� � ,.f �E
facility:, 1�1.' A ; t-L .
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Address: :. , ,- Iry ; K:
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Notice Of Violation: C /ass 11 'an d1or.Class l Vio, ions`were found during this inspection as
noted in the following Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless '
otherwise noted.
DATE FOR :.
Formal . enforcement will be initiated for all .Class 1 Violations ,. and for any Class I1 violations not , .
corrected within the required. fimeframe. This report does not represent thatthere. are no other .
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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$3•`l��«"�
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.!" $ of
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ONS
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Inspectors:
Received by:
Si g nature:
Phone: "�-
Print Name:
Date... �,
I)L
Date:' i
KPS #8447
White - Business Copy Yellow - Business Copy
to be sent in after Return- to - Compliance .. Pink = Prevention Services Copy