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Adrian Shuford Elementary 440000 05 17 17.PL.PDF
N.C. Department oflinsiromnent and Natural Resources DivisionofEnsimnmata llalW Score 91 18 Dateoflnsp/Chg:O 5/ 1 7 / x 0 1 7lHealdrDepeartanould curreet FauilkyID2018440000 Inspection of School status Colic Old FacilityID Water Supply: • Munlcipaucommun OnsOe Su Wat�aamplelakenmdayT DD Y ❑ aY ❑ DqY are Q No Insgedion ReinsDeaon City:CONOVER Stat.NC Zip; 28613 Cur. Norma chane 9 cation of Closure Wastewater. Q M unicipailCommunay ❑OnSte System 1. WATER SUPPLY: Approved waW supply properly located, Visit constructed, and operated, adequate for all requirements 130*; well Status Change house Clem, no storage 15*; no cross connections 30* (.2405) ........... Nameofschool: ADRIAN SHUFORD ELEMENTARY luatlov Address: 810 HUNSUCKER DR NE MailinSAddr. City:CONOVER Stat.NC Zip; 28613 Cur. Stat.. zip: SCOR Comments 1. WATER SUPPLY: Approved waW supply properly located, " SEE COMMENT SHEET ATTACHED'• constructed, and operated, adequate for all requirements 130*; well house Clem, no storage 15*; no cross connections 30* (.2405) ........... 175 2. SANITARY SEWAGE DISPOSAL: Sewage collected, treated, and disposed of by an approved method 150*; system properly operated 205 and maintained 55* (.2407).................................................................. 3. DRINKING FOUNTAINS: Clean and in good repair 40#; adequate so pressure, properly regulated 40# (.2406) .............................................. 4. TOILET FACILITIES: Walls and ceilings clean, nonabsorbent, washable, and in good repair 30#; futures clean and in good repair 100 20 4011; floors impervious, kept clean 30# (2405) ................................. 5. LAVATORY FACILITIES: Futures clean and in good repay 30#; Soap and individual towels mr approved hand -drying devices provided 40# 70 15 (2109)............................................................................................... 6. FLOORS: WALLS: AND CEILINGS: Floors, walls, and ceilings clean 30 15 and in good repair 30# (.2410)............................................................ 40 10 7. STORAGE SPACES: Clean 20#; storage off floe 20# (.2411) ............ 8. LIGHTING AND VENTILATION: Fixtures, grills, vents, blinds, drapes, 40 etc., clean and in good repair 40# (.2412) ............... 9. DRESSING ROOMS AND SHOWERS: Floors, walls, and ceilings clean, in good repair, washable, non-absorbent 30#; futures clean, in good repair 40#; facilities for storage of clothes provided, kept clean 20#; soap and towel 10* (.2413) .... ...... ........ ........ ........ ........ ........ _ 100 10. SOLID WASTE DISPOSAL: Impervious, cleanable containers with lids, approved type 20*; clean and in good repair 20#; empties as so needed, properly disposed of 40# (.2414) .............................. 11. PREMISES: MISCELLANEOUS: Premises neat, clean 3011; no vector breeding or harborage 20#; pesticides and other toxic materials 30 properly handled and stored 30*(.2415)...................................... 80 TOTAL 1000 90 Additional Comment Sheet Attached ❑ Yes ©No iespecdov by. EHS 2031 - Levin, Paige INSTRUCTIONS se v SG to 130A-236requires me Comvisdm err Healon Services to adopt rules governing the anitatiov ofpubac, pn ste, and evmyusschmk.7bisfonnhafbeedh�epm toramdmertsultsoinutinspections Po beeleov: Loralavir. 2. Cop l ha lm loco health a muent. .Crayon therytiug thrycmdud av a spemSe Drtpart ere odgiml and tau cepies tar I.Odgiml to beleh wimp Record 2. Copy for rhe Disposition hWm Schedule all 3. Copy for me Favironemnl Healon Services Scum, Division of Favirmotintal Halm. Dixasiaon Igax mftt to Records Retention and Dispoanm Smeduk BB.6., EHS 1163 (Revised T05) Environmental Habh Services Sedim (Review1i06) N.C. Depadmend of Emlmnment and Natural Resources Name. ADRIAN SHUFORD ELEMENTARY Time In: g 2 0 .3 Division of Environmental Health ID: 2018440000 Time Out: 3 4 0 Street: 810 HUNSUCKER DR NE Total Time: 1 hr 37 minutes COMMENT ADDENDUM City: CONOVER feel Urinal in boys' bathrom on 3rd grade hall not working at time of inspection. Work order in on it. One hand sink in gifts' bathroom and one in boys' bathroom on 3rd grade hall not working properly. Work order has been turned in. Carpets stained and coming up from floor in some rooms. Foam tile flooring in kindergarden needs cleaning. No storage allowed on the floor (storage rooms). 11 Hand sanitizers and cleaners labeled "keep out of reach of children" found in lower unlocked cabinets in classrooms and bathroom. Store all chemicals according to manufacturer's instructions.