HomeMy WebLinkAboutBlackburn Elementary School 440004 05 02 17.LS.PDF-C. Department of Environment and:Natural Resowces 97.5
Diih,ion of Emironmental Health Score -
Date of Inspl/Chg- 0 5 1 @
Inspection of School
Status Code, A
hea
lth Depaftnicut 18
1 7
. .... . ............ " Current Facility JD 2018440004l
Old FanhtN, ID
Water Supply: M m unicjPaucommurity F�on-sitesuppty
"lastewater: E] M unicipaliCommunity fflon-Site System
Water sample laken today? [Ainspectic Name Change
Dyes ff] No Re-laspe� 0 n HVerification of Closure v isn Status Chang8
Location Ad'11"IIC 10 MWT Uniting Addr.
City: NEWTON state NC zip:
ME
4. TOILET FACILITIES, Walls and ceilifiRs clean, nonabsorbent
washable, and in good repair 304-1 fixtures clean and in good repair 100
400, floors irrtpervious. kept clean 30#
5. LAVATORY FACILITIES: Fixtures clean and in good repair 30#,"- soap
and individual towels or approN,-ed hand -drving devices proN7ided
(2409)
S. FLOORS: WALLS.- AND CEILINGS- Floors, Nvalls, and ceilings clean 30
and in P -pair 30(241Q) zood re, ff'
7. STORAGE SPACES S. Clear 20-.4'; storage off floor 20#
S. LIGHTING AND VENTILATION, - Fixtures, , grills, vents, blinds, drapes, 40
etc., clean and in good repair 404 (.24 12 ;1) , ......A.._..._
9- DRESSING ROOMS AND SHOWERS: Floors, walls, and ceilings
clean, in Rood repair, washable, non-abisorbent 30#; fhtures clean, in
good repair 4,04; facilities fbr stonge of Cloth es provided2 kept cleAn 100
10. SOLID WASTE DISPOSAL - Impervious. cleanable containers Nvith
lids, approved type 20*- clean and in good repair 2(t empties as 80
needed, propefly disposed of 4CW (2414)
1.1. PRF"SFR - MISCELLANFOUS - premises neat, clean atom- no vector
breeding or harborage 2100", pesticides and other toxic materials so 15
properlybandled and stored 30* (.2415).............
TOTAL 1000 25
- Zip -
Comments
Additional Comment Sheet Attached
L] Yeg W No
Inspection by-,
EHS 1896 - Sears, Luike
NSTRUCTTONS aerg tote 13DA-236 requires the Co son brHealth Sertices to adopt rules governing the sanitationof public, pfi,�,ite, and
religious sschoo .. Asfb�= has been i loped torecord the results of such inspections, Preparatiom Local en%ironmental health Tecudists shall completethe form
eve ',,tinie onductart inspection,P are an onginal and rwo, copies for: I. Original to be, left with principal, 2. Copy for the local health department. 3. Copy for
tine Nir ta]health SerNicesSectio, Division of Environticattal Health- Disposition-. Please, refer to Records Retention and Disposition Schedult 8B 6-,
Insoe rds fdr C our w� D: s vtr" Ialit Dep;rrimenis %litict is published by the IN Carokna Di,;Ision of Archives & HisToxy, Additional fmm, s may be, ordered
frorft: on as Vif ffina talth,163-'MwISeniceCenterR21e, NC 2769Q .,o , - 1432 , (C ourier 5 2 -01 -00)
,b
(RoT,Ised T,05)
tital Health SentcesSecton (Review7e0g) ON\
N.C, Depanment of Environment and Natural Resources Name:. HLAUMUHNELLMENIAKYuUHUUL
Division of Environmental Heafth ID: 2018440004
Street. 4377 W NC 10 HIWY
COMMENT ADDENDUM CnY: NEWTON
7 KEEO ALL ITEMS OFF FLOOR IN STORAGE ROOMS -
Time In: 1 0 1 5 F
Time Out: 1 1 0 1 a]
I.............. "I I ------------ I ..... ..... .10
Total Time: 46 minutes
N.C. Department of Environment and Nalurat Rescurses
DrOsKn cf Envaronmental Heafth
Street-. 4377 W NO 1,0 HWY
Ci'Y NEWrON
11 MaTTV77 9 lorom m 7 m m