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China View 010472 Stauts Change 11 09 17.pdf
Comment Addendum Report 2018010472CHINAVIEWEstablishmentName:Establishment ID: Re-inspectionInspection Date: 1109201731051STAVSWLocationAddress: Visit StatusCode: VerificationHICKORYNC28602NC IVCity:State: Category #: NameChange2860218CatawbaCounty:Zip: Email StatusChangeMunicipal/CommunityOn-SiteSystemWastewaterSystem: am1204TimeIn: pmWaterSupply:Municipal/CommunityOn-SiteSystem Pre-OpeningVisit am1205TimeOut: FIRSTMARKINC pmPermittee: Other 1minuteTotalTime: Telephone: YesNoWaterSampletaken? TemperatureObservations ItemTempLocationItemLocationTempItemLocationTemp Observations - Corrective Actions - GeneralComments ESTABLISHMENT CHANGE OFOWNERSHIP. GC FirstLast PersoninCharge (Print & Sign): FirstLast HUFFMANJASON• Regulatory Authority (Print & Sign): 1654 - Huffman, JasonREHSID:REHSContactPhoneNumber: NorthCarolinaDepartmentofHealth & HumanServices DivisionofPublicHealthEnvironmentalHealthSection FoodProtectionProgram DHHSisanequalopportunityemployer. Page1of 1 FoodEstablishmentInspectionReport, 3/2013