HomeMy WebLinkAbout1416 golden state violation 3-29-13Owner /Operator:
Facilit y: C P �k elm
Address: 5'
0
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
Summary of Violations.
The, violations indicated in ,this inspection report must be`corrected vuithin 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.
r_I=RTiI=ir_oTinN nF RFT[IRN:TO COMPLIANCE
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:
Date:
i<P5 #8446
VVhi +c - Pi icinoee r_nn%i vallnW — Ri,siness Conv to be sent in after Return -to- Compliance Pink - Prevention Services Copy