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Tri City Baptist Chruch School 440048 11 14 17.pdf
N.C. DepartmentofEnvironment andNatural Resources 96.5 18HealthDepartmentScoreDivisionofEnvironmentalHealth DateofInsp/Chg: 11142017 2018440048CurrentFacilityIDInspectionofSchool StatusCode: Old FacilityID Watersampletakentoday? Inspection Name ChangeWaterSupply:Municipal/CommunityOn-SiteSupply NoYes Re-inspection VerificationofClosure Municipal/CommunityOn-SiteSystemWastewater: Visit StatusChange TRICITYBAPTISTCHURCHSCHOOLNameofSchool: 1409NNC16HWY3357NNC16HWYLocationAddress: Mailing Addr. CONOVER28613CONOVERNC28613State: NCCity:Zip:City:State:Zip: CommentsScore SEECOMMENTSHEETATTACHED ** 1. WATERSUPPLY: Approvedwatersupplyproperlylocated, constructed, andoperated, adequateforallrequirements 130*; well 175houseclean, nostorage15*; nocrossconnections30* (.2405) ........... 2. SANITARYSEWAGEDISPOSAL: Sewagecollected, treated, and disposedofbyanapprovedmethod150*; systemproperlyoperated 205andmaintained55* (.2407) .................................................................. 3. DRINKINGFOUNTAINS: Cleanandingoodrepair40#; adequate 80pressure, properlyregulated40# (.2406) .............................................. 4. TOILETFACILITIES: Wallsandceilingsclean, nonabsorbent, washable, andingoodrepair30#; fixturescleanandingoodrepair 10040#; floorsimpervious, keptclean30# (.2408) ................................. 5. LAVATORY FACILITIES: Fixturescleanandingoodrepair30#; soap andindividualtowelsorapprovedhand-dryingdevicesprovided40# 702409) ............................................................................................... 6. FLOORS: WALLS: ANDCEILINGS: Floors, walls, andceilingsclean 30andingoodrepair30# (.2410) ............................................................ 407. STORAGESPACES: Clean20#; storageofffloor20# (.2411) ............ 8. LIGHTINGANDVENTILATION: Fixtures, grills, vents, blinds, drapes, 40etc., cleanandingoodrepair40# (.2412) ............... 9. DRESSINGROOMSANDSHOWERS: Floors, walls, andceilings clean, ingoodrepair, washable, non-absorbent30#; fixturesclean, in goodrepair40#; facilitiesforstorageofclothesprovided, keptclean 10020#; soapandtowel10* (.2413) ..................................................... 10. SOLIDWASTEDISPOSAL: Impervious, cleanablecontainerswith lids, approved type20*; cleanandingoodrepair20#; emptiesas 2080needed, properlydisposedof40# (.2414) .............................. 11. PREMISES: MISCELLANEOUS: Premisesneat, clean30#; novector breedingorharborage 20#; pesticidesandothertoxicmaterials 1580properlyhandledandstored30* (.2415) ...................................... 35TOTAL1000 AdditionalComment SheetAttached YesNo Inspectionby: 1655 - Kain, GregEHS INSTRUCTIONS Purpose: GeneralStatute130A-236requirestheCommission for HealthServicestoadoptrules governingthesanitationofpublic, private, and religious schools. Thisformhasbeendevelopedtorecordthe resultsofsuchinspections. Preparation: Localenvironmental healthspecialists shallcompletethe form everytimetheyconduct aninspection. Prepareanoriginaland twocopiesfor: 1. Originaltobe leftwithprincipal. 2. Copy forthelocalhealthdepartment. 3. Copyfor theEnvironmental Health ServicesSection, Division ofEnvironmental Health. Disposition: Please refertoRecordsRetentionandDispositionSchedule8.B.6., InspectionRecordsforCounty/DistrictHealth Departments which ispublished by theNorthCarolinaDivisionofArchives & History. Additional formsmaybeordered from: Division ofEnvironmentalHealth, 1632MailServiceCenter, Raleigh, NC27699-1632, (Courier52-01-00) EHS1163 (Revised 7/05) EnvironmentalHealthServicesSection (Review7/08) amTRICITYBAPTISTCHURCHSCHOOLN.C. Department ofEnvironmentandNaturalResources Name:TimeIn: 0104 pm Division ofEnvironmental Health ID:TimeOut: am2018440048: 310 pm Street: 1409NNC16HWY 2hrs6minutesTotalTime: COMMENT ADDENDUM City: CONOVER cleandumpster areasandcan/mopwasharea10 nofloorstoragepleaseinstorage roomsandclassrooms11 Name: N.C. Department ofEnvironment andNaturalResourses TRICITYBAPTISTCHURCH Division ofEnvironmental Health ID: 2018440048 Street: 1409NNC16HWY COMMENT ADDENDUM City: CONOVER GeneralComments: