HomeMy WebLinkAbout2 oak violationOwner/Operator:,
Facility:,
Address: s7 /-57�2,
DATE FOR
CORRECTION
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 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:
ci IRARAAPV CW Vinl ATIMS
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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 violatio nSL have been corrected,
Signature:
Title:
.Print Name:
Date:
KPS #8446
( rnriv #n him cant in after Return -to- Compliance Pink_ Prevention Services Copy
VIOLATION _
REQUIREMENT FOR CORRECTION OF
VIOLATION
DATE FOR
CORRECTION
Item
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nspecfiors
Signature:
- l
Received b�y: f
��
Phone:
Print Name: A IA
Date:
,
Date:
�,- �c�r•w -r�^A� nc oc-ri item -rn 1_r1MP1 I®Nf:F
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 violatio nSL have been corrected,
Signature:
Title:
.Print Name:
Date:
KPS #8446
( rnriv #n him cant in after Return -to- Compliance Pink_ Prevention Services Copy