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HomeMy WebLinkAboutMaiden High Football Clsoed Sheet 140268 06 30 17.JH.PDFComment Addendum Report Establishment Name: MAIDEN HIGH FOOTBALL 1 Establishment ID: 2018140268 ❑ Inspection ❑ Re -inspection Date: 06 1 3 0 1 x 0 1 7 Location Address: 600 W MAIN ST El Visit Status Code: B City: MAIDEN State: NC ❑ Verification Category County: 18 Catawba Zip: 28650 ❑ Name Change Email Wastewater System. ❑ municipaiiCommunity ff) ort -site system A Status Change Time In: m Co) am 5 6 Q ptp Water Supply: Q Muni ❑ On -Site System pPY ❑ Pre -Opening Visit 4) am Permittee: MAIDEN HIGH SCHOOL Time Out: a 7 5 7 0 pm Telephone: ❑ other Water Sample taken?❑yes ❑ Na Total Time: 1 minute Temperature Observations Item Location Temp Item Location Temp Item Location Temp Observations - Corrective Actions - General Comments SGC ESTABLISHMENT NOT OPERATING Person in Charge (Print & Sign): JASON First Last First Last HUFFMAN Regulatory Authority (Print & Sign): REHS ID: 1654 - Huffman, Jason REHS Cion North Carolina Department of Health & Human Services • Division of Public Health • Environmental HealfffMWtion • Food Pronruon %Warn DHHS is an equal opportunity employer. Paget of 7 Food Establishment Inspection Report,3t2613 Soell