HomeMy WebLinkAbout1700 mt vernon violation 6-20-13Owner /Operator:
Received by:
Address:
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There were NO violations observed during this inspection
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found dur.,��
Notice to Comply: Minor Violations were ing this inspection as n i�--t following
'
Summary. of Violations.
The violations indicated in this inspection report must be come( ed within 30 days, ess'
otherwise noted.
may be initiated for any violations noted, andefor those not corrected., in a-
Formal enforcement
timely manner.( This report does not represent that there are no other violations at this facility .-A.
re- inspection may occur to determine compliance status. -
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION OF DATE FOR
VIOLA VIOLATION CORRECTION
#
Inspectors
Received by:
Signature
Phone:.. `=
Print Name: A47�=
Date:
Dater
^• m- riff rrn�rinpa nC OCTI IDKI TrI t'`r1MPI IANC'_F
certify that the violations noted above on this Notice to Comply /Summary of Violations have been
corrected l have personally examined any documentation attached to theticertif action to establish that,
the violations have been corrected.
Signature:
Title: f .
Print Name:
Date:
KPS #8446'.
_ f�,,;...., +- ho oon+ in nf+or P afi irn_fn_( mmnlignrP_ Pink = Prevention Services Copy