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HomeMy WebLinkAboutSCI of Vale 430089 Visit 07 12 17.pdfComment Addendum Report REHS ID: Establishment Name: Location Address: *GC Establishment ID: Date: Status Code: Category #:City: State: Zip: Permittee: Telephone: County: Wastewater System: Water Supply: Email Person in Charge (Print & Sign): Regulatory Authority (Print & Sign): Page 1 of 1 Observations - Corrective Actions - General Comments Time In: Time Out: ampm ampm: : // Total Time: Temperature Observations Item Temp TempLocationItemLocationTempItem Location Municipal/Community On-Site System Municipal/Community On-Site System Food Establishment Inspection Report, 3/2013 DHHS is an equal opportunity employer. Environmental Health Section Food Protection ProgramNorth Carolina Department of Health & Human Services Division of Public Health REHS Contact Phone Number:()- First Last First Last Water Sample taken?Yes No Visit Verification Name Change Status Change Pre-Opening Visit Other Inspection Re-inspection SCI OF VALE 6455 OLD SHELBY RD VALE NC 18 Catawba 28168 SCI (704) 462-2181 2018430089 0 7 1 2 2 0 1 7 A N/A 0 9 0 8 9 3 8 30 minutes Resample after chlorinating paige levin 2031 - Levin, Paige 07/12/2017 07/12/2017 1 43 21