HomeMy WebLinkAbout1520 20th violation 1-7-14®
Notice Of Violation: Class 11 and /or Class. / Violationswere; found during this inspection as
noted in the following Summary of .Violations.
The Violations indicated in this inspection report`must be corrected within 3'0 days, unless
Item
otherwise noted.
Formal enforcement,willl,be initiated for all Class l Violations, iand fdr� any Class l l violations' not
DATE FOR
corrected within the required .ti This report does not represent that there are no other
violation at this facility. A re- inspection may occur to deterrraine compliance status.
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SUMMARY OF VIOLATIONS .I.
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Item
REQUIREMENT FOR CORRECTION
DATE FOR
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VIOLATION
OF VIOLATION'T
.
CORRECTION
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Signature:
Received by:
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Date:
Dater
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KPS #8442
White - Business Copy
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Yellow- Business Copy to be sent in after Return -to- Compliance
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Pink — Prevention services Copy .