HomeMy WebLinkAbout5634 stine violation 1-7-13Owner /Operator:
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There were NO violations observed during this inspection.
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Minor Violations were found this inspection as noted in followin'
Notice to Comply: g p g
,durin
Summary of Violations.
The violations indicated in this inspection report must be corrected within '30 days, unless
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.
SHNIMARY OF VIOLATIONS
CERTIFICATION OF RETURN TO COMPLIANCE
I :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:
F Date:
KPS #8446
.�,.�r,..., 13—;-- 11^n" +„ he ecnf in mftizr Ps=fHrn_tn_rmmnlianrP Pink - Prevention Services Copv
Received by.
"Inspectors �.
.Signature:
Phone:
ime:.°” 11=
Date: /
Date: t,
CERTIFICATION OF RETURN TO COMPLIANCE
I :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:
F Date:
KPS #8446
.�,.�r,..., 13—;-- 11^n" +„ he ecnf in mftizr Ps=fHrn_tn_rmmnlianrP Pink - Prevention Services Copv