HomeMy WebLinkAbout3620 wilson violation 3-6-13Owner /Operator:
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Facility: t 14 12
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Address: 0 x//50 a 5 �� 'C
DATE FOR
There were NO violations observed during this inspection
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Notice to Comply:. Minor Violations were found. during thisr inspection as noted in the following
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Summary of. Violations.
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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
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re- inspection may occur to determine compliance status.
Al IMMARY bF VIOLATIONS
Item
REQUIREMENT FOR CORRECTION OF
DATE FOR
VIOLATION
VIOLATION
CORRECTION
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Inspectors
Received by:
Signature: .
Phone:. , ..
Print Name:
Date;
^moo- ric it- A-rinwl nc DCTI iQti Tn r_nMP1 MINIM=
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:
KPS #8446
(--i , +„ kc,o=nt in tat+or Kati irn- tn_[;mmnlianr'e' Pink - Prevention Services Copy