HomeMy WebLinkAbout4010 wible violation 10-30-13Owner /Operator:
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Address: t r ,�' -70
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There were NO violations observed 'during this inspection.
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otice to Comply:. Violations were found during this inspection as noted in the following
Summary of Violations.
The violations indicated inthisinspectionreportmust be corrected within30 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. -
SUMMARY OF VIOLATIONS
Item REQUIREMENT FOR CORRECTION OF, DATE FOR
VIOLATION
#
VIOLATION
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Inspectors "
Received by:
Signature:
P �'���
Print Name:-
Date: Date: a /3 all:
CERTIFICATION OF RETURN MCOMPLIANCE
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:
P ,
Date:
KPS #8446
:L- �,.�., - ven ^,., _ P11Qinccc'(nnv tC ha --Pnt in nftar Raturn- tn- C:nmnliance: Pink Prevention Services copv