HomeMy WebLinkAboutCross Country Campground 500013 VISIT 05 18 17Comment Addendum Report
Establishment Name: CROSS COUNTRY CAMPGROUND
Location Address: 6254 E NC 150 HWY
City: DENVER State: NC
County: 18 Catawba Zip: 28037
Wastewater System: 0 MunicipallCommunity ❑ On -Site System
Water Supply_ ❑ MunicipalfCommunity 2 On -Site System
Permittee` CROSS COUNTRY CAMPGROUND
Establishment ID: 2018500013
❑ Inspection ❑ Re -inspection
wl Visit
❑ Verification
❑ Name Change
❑ Status Change
❑ Pre -Opening Visit
Date: 05 1 1 8 1 2 0 1 7
Status Code: B
Category #: NIA
Email
Time In: a 7 1 5 0 pm
El Other Time Out: 0 7 3 5 0 nm
Telephone: WaterSample taken9F* 11, ❑ No Total Time: 20 minutes
Temperature Observations
Item Location Temp Item Location Temp Item Location Temp
Observations - Corrective Actions - General Comments
WATER SAMPLE TAKEN
*GC
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First
Last
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Person in Charge (Print 8 Signl:
First Last
JASON HUFFMAN
Regulatory Authority (Print 8 Sign):
REHS ID: 1654 - Huffman, Jason REHS Contact a mer: ) -
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North Carolina Department of Health & Human Services • Division of Public Health • Environmental Health Section • Food Pratection Program
DHHS is an equal opportunity employer_
Pagel of 7 Food Establishment Inspection Repot, 312013 A