HomeMy WebLinkAbout5609 stine violation 3-13-13Owner /Operator:
Facility: t11'
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Address: 9_Z55p1
DATE FOR :
CORRECTION .
There were NO violations observed during this,. in. spection..
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Notice to Comply: Minor Violations were found during th'i the as noted, in o
Owing
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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 of this facility. A
re- inspection may,occur to determine compliance status.
SUMMARY OF VLOLATLONS
Item
#
VIOLATION.
REQUIREMENT FOR CORRECTION OF
VIOLATION
DATE FOR :
CORRECTION .
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f'_FRTIF1f_®T1nN nF RFTIIRN 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:
Dater
KPS #8446
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