HomeMy WebLinkAboutBiscuitville C Sheet 011113 09 30 14.SC.PDFComment Addendum Report
Establishment Name: 'J ILA0:6 Establishment ID: 10 100\00"Ma
El Inspection El Re -inspection Date: 0 9 / 3 0 / 2 0 1 4
Location Address: 0 Eil Visit
A Status Code:
City: vk, —State: El Verification Category #:
0 County: Zip: -2, El Name Change
'ftn5t.�w 219D Email
Wastewater System: $t Municipal/Community El On -Site System El Status Change @ am
0 6
Water Supply W.Municipal!C o rnm unity E] on -Site System El Pre -Opening Visit Time In: 1 1 0 Pm
— — @ am
Permittee: El Other Time Out: 1 0 1 7 0 PM
Telephone: Water Sample taken? Oyes No Total Time: 1'' minute
Temperature Observations
Item Location Temp Item Location Temp Item Location Temp
Observations - Corrective Actions - General Comments
ESTABLISHMENT STILL CLOSED -----PLEASE NOTE THAT THIS C SHEET SHOULD HAVE BEEN DONE AT THIS TIME ---- THIS WAS
*GC CREATED
Person in Charge (Print & Sign):
Regulatory Authority (Print & Sign):
First
First
SCOTT
REHS ID: 1711 - Carpenter, Scott
Last
Last
CARPENTER
REHS Contact Phone Number
North Carolina Department of Health& Human Services *Division of Public Health 0 Environmental Health Section * Food Protection Program
A DHHSis an equal opportunity employer.
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Page 1 of 1 FoodEstabtishmentinspection Report,3f2013