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HomeMy WebLinkAboutEmersons Closed Sheet 010403 06 30 17.JH.PDFComment Addendum Report Establishment Name: EVIERSONS Location Address: 2160 US 70 HWY City: HICKORY State: NC County: 18 Catawba Zip: 28602 Wastewater SystemIE Municipal/Community ❑ On -Site System Water Supply © Municipal/Community ❑ On -Site System Permittee` W BRITTAIN Establishment ID: 2018010403 ❑ Inspection ❑ Re -inspection ❑ Visit ❑ verification ❑ Name Change 0 Status Change ❑ Pre -Opening Visit Date: 06 /301 2017 Status Code: J Category #: II Email wolfpit2ra)hotmail corn Time In: 0 7: 5 1 Q am El Other Time Out: 7 5 a 0 prn Telephone: WaterSample taker9L1e$ ❑ No Total Time: t minute Temperature Observations Item Location Temp Item Location Temp Item Location Temp Observations - Corrective Actions - General Comments PERMIT EXPIRED *GC Soel I First Person in Charge (Print 8 Sign): Last i First Last Regulatory Authority (Print 8 Sign): — C%,f& r RENS ID: 1654 - Huffman, Jason R E H S CoP ne I u : { ) - Ak North Carolina Department of Health & Human Services • Division of Public Health • Environmental Health Section • Foo ratection Program DHHS is an equal opportunity employer_ Pagel of 7 Food FstbHshmentlnspection Report,112075