HomeMy WebLinkAbout705 union violation 6-3-13Owner /Operator:.
Facility:
Address:
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There were NO violations observed during this inspection.
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Notice to Comply.- �a Violations` were found during this ins ection as noted ,in the following
9 p
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.
Item
SUMMARY OF VIOLATIONS
VIOLATION REQUIREMENT FOR CORRECTION OF DATE FOR
VIOLATION CQRRECTLON
, ,
Of �Pd
� 1 .
Inspectors
Signature::.;
Received by:
`Phone:
Print Name:
Date: --
TDate:''
CFRTIFICATION 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:
1[2ate:
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Inn: 4- - Vc11^iAi- Piicinace r ^nv fn him canf in'aftar PPfiirn_tn_rmmnlian(-P Pink - Prevention Services Conv