HomeMy WebLinkAboutBlackburn Elementary School 440004 04 23 15.LS.pdfN.C. Depat-ftnent of Environment and Z4tuial Resources
n of Envnenmental Health Score, _98.5
Inspection of School Date of lusp/Cfig', 0 4 / 2 3
Status Code: A
Health Department 18
-2 0 1 5 1 Current Facility ED2018440004
Old Facility M
Water jacommunity j
ptaken o
i
, 0 Non-Tra n sient Non -Co mm unity Water samle tday? fflsnspecfi:n Name Change 1
ff]Transieint Non-Commundy Etion-Public Water Supply Ely e s 91 N o 2 ReAnsp 'tjon Verification of Closure
V W Visit a stewate r S y s tenaz Eflcommundy Elon-site system status Change
Maiting.kddr.
City. NEWTON state: NC zip* 28658 City: State. Zip.
Score Comments
1. WATER SUPPLY - Approved water supply properly located, SEE COMMENT SHEET ATTACHED
constructed, and operated, adequate for all requirements 130*,- well 175
house clean, no storage 15*, no cross connections 30* (2405)____
2. SANITARY SEWAGE DISPOSAL: Sewage collected, treated, and
disposed of by an approved method 150*; system properly operated
205
and maintained 55* ( 240�7) ................ I ............................ .......
3. DRINKING FOUNTAINS- Clean and in good repair 40t adequate 80
pressure, Properly regulated 40# (2406)
4. TOILET FACILITIES - Walls, and ceilings elm, nonabsorbent
washable� and in good repair 30#, fixtures clean and in good repair 100
404; ficors impervious, kept clean 3 0# ( 2408)
5. LAVATORY FACILITIES - Fixtures clean and in good repair 3 Ok soap
P
and individual towels or approved hand -drying devices provided 40# 70
(2409) ........... __1__1 ..................................................... ----------
& FLOORS . WALLS - AND CEILINGS - Floors, walls.. and ceilings clean 30 15
and in good repair 30# (24 10)
40
7. STORAGE SPACES: Clean 20#; storage off floor 20# (2411) . . 1 1.-
8. LIGHTING AND VENTILATION: Fixtures, grills, vents., blinds,, drapes, 40
etc,, clean and in good repair 40*'(24I.1)_____
9, DRESSING ROOMS AND SHOWERS: Floors, walls, and ceilings
clean, in good repair, washable, non -absorbent 304,- fixtures clean, in
good repair 40#-, facilities for storage of clothes provided, kept clean 100
?01 1
, �'- soap and towel 10* (2413)
1 OS OLID WAS TE D ISPOSAL - Impery ions, c leanable containers with
lids, approved type 20*,- clean and in good repair 204; empties as 80
needed, properl°, disposed of 400(_2414)
11. PRENUSES - MISCELLANEOUS - Premises neat, clean 30#-, no vector
breeding or harborage 204,; pesticides and other toxic materials 80
properly handled and stored 30* ( 2415).-
TOTAL 1000 15
Additional Comment Sbeet Attached
[:] Yes / No
Inspection by 1896 - Sears, Luke
-------------------- EHS
NSTRU Purpose. Genetal Sta e 13CA-236, requires the Conunission for health Setvices to adoptrules govemng the sanitation of public, private, and
reli soar s fo isas de e10 to record rise resula of sch sir ,crsons. P ac Lion: T ocal &ortmental health Vciahsts aaaU complete the form
ever} th ~ c uct ass sraspe on. are• ors i and copses for: 1. ginal ro 1 left swrthprin pal. 2. Copy for the local health department, I Copy for
the Ens o 1 Zi ices oar; 1}r isson of Enxir ants€ heap .I isposition Please refer to Re s Retention and Disposition Schedule 8B.6,,
of Arcinves & History, Additional fanns may be, ordered
from Division ofEnmrontnental Health, 1632 Mail ServiceCenter, Ralei _01,C2769Q-1632,(Coup'.e-r52-01-00)
EHS 1163 *,dsed 7105)
EnNirommental health Services Section (Re--iciv 7eDS)
N,C. Depalment of EnvIronment and Naturat Resources I Name: BLACKBURN ELEMENTARYSCHOOL
Time In: 1 1: 5 0
F-1
Street-, 4377 W NC 10 HWY
CLEAN/REPAINT WALLS THORUGHOUT HALLWAYS AS NEEDED.
REPAINT DOORWAYS WHERE PAINT IS CHIPPING
Time Out" 1 1 : 5 5 M
El
Total Time, 5 minutes
C. rtment of Environment and Natural Res,ourses
Divisicn oaf Environmental Heafth
Name: BLACKBURN ELEMENTARY
111.f 'writ 11
2018440004
Street: 4377 W NC `O HWY
Q-,Y: LqEWTON