HomeMy WebLinkAboutBaymont Pool 500098 05 14 15.GK (2).pdfNZ And'Naural Remaft Demerit Score: 0 Health Departrn, ent 18
IxNeiom & FftAr0=Vntal Heath
Inspection of SvVininring Pool Date, of hisp/Chg,: 0 5 / 1 4 1 a 0 1 5 Current Fad tity 1D 2018500098
Status Code: A Old Facility ID
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Water [ECommunfly Non-Transtent Non -Co mm unity Water sample taken today? EEinspechon r-]N3me Charge
FZ]Transient Non-Communfly [flNon-Public Water Supply iyes No ReAnspection
0i MVerification of Closure
WastewaterSystem- 91commundy R]On-Sde System Visit El Status Change
Name of Establishment: BAYMONT INN
L-cationAddress: 1120 13TH AVE DR SE
City: HICKORY state.NC zip, 28602
Xhiling Addr. 2500 NORTH DALLAS PKWY. S
city: P'LANO, TX 75093 star, TX Zip: 75093
Indicates critical item (6-po let d em e rit)
comorefts:
Comment Sheet Attached
Yles El No
Report Received by:
lyurp�w*;Genftal Statute 130A-282nT4ires the 15ANCAC ISA 2.511 spectre estie cortmts of in uaspectiform to moordth, rasults orf
la =46;q oup-ctims ofpublic 4%viataingpoo1r, spu, wadmg po4s and water rqjeahon atozc6one, Preparation: Loczl cash canwaW health vecialists $hall coraplete dw'o=
every him they cmdu Ct an, impect icn, Repale an origiful end ttr 0 copies fc.; 1, Original to Im kft r ith dw respom irate p' Wn' 1 Copy fer the lo:a! health slepar lanmt. I C oW :sir d* Emifomten ml Heafth S 4T'icor S aefion,
Dmition of Envitonmital HaaW Ttis mots nuybed@,o=y@4 in acomdam- rLsthSWditd&B,6_, of OwRacar& DizWsWen by th*N-C- DivitionofAithixei
Histuy, Ad6fioml of Eo,srontnmtalHealth, NC 27%9-1630,
EHS 3ii (F. med 0741
Eavirourntal Health Seffirtj SaArttsva(RerirwVW�
N,C. Department of Environment and Naturat Resources I Name: BAYMONTINN
Time In, 0 1) i 9
INTUTIMI 1101MIT910=3 IN=
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Street-, 1120 13TH AVE DR SE
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Time Out: 3 0 0 El
Total Time: 41 minutes
IN
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Name-,
BAY MONT INN
ID
018500098
Street,
1120 13TH AVE DR SE
QtYl
HICKORY
N.C. Department of Environment and Natural Resours es Name: BAYMONT INN
Division of Environmental Heafth ID, 2018500098
Street: 1120 13TH AVE DR SE
COMMENT ADDENDUM C:itY, HICKORY
General Comments:
openIsheet