HomeMy WebLinkAbout3698 ming violation 1-17-13P.Ilyl f
Facility:
Address: 3Lft A4;Ar4 A � `= q
Print Name: 'o i c Z v ��L A
There were NO violations observed during this inspection
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Notice to Comply: Minor Violations were found during this inspection as noted in the following
El
Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
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otherwise noted.
Formal enforcement may be 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
re- inspection may occur to determine compliance status.
_Rl IMMARY OF VIOLATIONS
nspectors;
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Received by: ,
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[Phone: ,a ``
Print Name: 'o i c Z v ��L A
Date: *�
Date: --—
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certify that the violations noted above on this Notice to.Comply /S.ummary 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: ' , laA
r.ry
Date:
.. Q,...,.,— r- „ -.; +„ ho eon +.n nff=r Ratr rn- to- C omnliance Pink - 'Prevention Services Copy
KPS #8446. _