HomeMy WebLinkAbout2301 H ST CLASS 2 NOV 11.19.14CLASS11 AND CLASS [VIOLATIONS
Owner/Operator::/�-
Address:: --
Item
Notice Of Viola #ion.0 / ass ln.d /or Cass l Violations were found. duringthis inspection as
noted in'the following Summa►y oh Violations.
Thexiolations indicated in this inspection report must be corrected within 30 days, unless
DATE FOR
otherwise noted.
VIOLATION .
Formal enforcement will be initiated for all Class I Violations; and for any. Class Il violations not
OF.VIOLATION
corrected within the required timeframe. This report, does not represent that there: are no. other,
CORRECTION'
violations at thi facility. Are. -in' pection may occur to determine compliance status.
Item
REQUIREMENT'FOR CORRECTION.
DATE FOR
4.
VIOLATION .
OF.VIOLATION
CORRECTION'
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IInspectors
:Signature:-
Received by:.
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Print Name
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Date: j �. �<< a / >�;r '. �
Date:
KPS #8447 '
White — Business Copy Yellow - Business Copy to be sent in after Return -to- Compliance Pink = Prevention Services Copy