HomeMy WebLinkAboutBlackburn Elementary School 440004 11 17 10.KM.pdfN,C- Depamneru of Environment and 'Natoral Resources ,core 93.5
Di%ikon of Envimmul Health
Inspection otschlool Date of Insp,'Chg' i
status Code.' A
,Heatth Department 18
0 1
Current Fadlio, 1D2018440004
'01d f ac* t v ID
at ommunity Mrjon-Transltent IHlon-Cornmlinity
Ifltransient Non-Commundy RIN on- Public W aler Supply
Wastewater Systern, FI-1commundi Fflon-site system
Water salimple taken 1il lrispedlion Name Change
E:]Y e s ff] No Re-lnspecaon VeryfiCalon 0fC1l0SVre
visil Status Change
Location Addrm.,, 4377 W NC 10 HVVY 'MailliagAddr.
Citv. NEWTON State. N7C Zip- 28658 Citv: State, Zip.
Score Comments
I. WATERSUIPPLY, Approved watersupplyproperly located. SEC COMMeNT SHEF.TAtTACH60'*
constructed, and operated. adequate for all requirements 130*', well, 175
house clears, no storage 15 *1 no cross connections 30* (.2405) _. __,.
2 SANITARY SEWAGE DISPOSAL: Sewage collected, treated, and
disposed of by an approved method, 150*.- systena properly operated
and maintained55* (.Z407) ....... 2 0 5
3- DRINKING FOUNTAINS- Clear and in good repair 4adequate so
pressure, propeAv regulatis! 40,0 (.2406)
4, TOILET FACILITIESi Walls and ceilings clean, nonabs orbemL
washable, and in good repair 300, fixtures clean, and in good, repair I C)o 15
4 Ord,, floors imp ery tons, kep t clan 304 (,,' .140 8)
5, LAVATORY FACILITIES: Fixtures clean and in as repair 300" soap
and individual towels or approved hand -drying devices Provided 400, '70
6, FLOORS. AVALLS: AND, CEILINGS: Floors, walls. and ceifiries clean - '0 15
and in to repair 30* ('21410) 40 10
7, STORAGE SPACES; Clean 20#toral offfloor
S. LIGHTING ANTD VE.NTILATION, Fixtures, grills, vents, Will drapes,, 40
etc,, clean and in good repair 404
9, DRES SING ROO'MS AND SHOWERS � Floors, %valls, and ceilings
clean, fit good repair, washable, non -absorbent 30,,4, fixtures clean, in
good repair 40*i facilities for storage of clothes provided, kept clean 100
200; soap and towel 10* (,2413), .......................................
10. SOLID WASTE DISPOSAL, Impervicl cleanable containers with
lids, approved t�cpe 20*; cleats mid in erood repair 20ii,' empties as so
needed, properly disposed of 400 (14414)
11. PREIMISES. MISCELLANEOUS: Premises neat, clean 30#, novector
breeding or harbotage 20;0; pesticides and other toxic niaterials so 25
pr(perly handled and stored 30* (72415),___ ... .......
TOTAL 100,0 65
Additional Comment Sheet Attached
- 'I#
-7Z Yeti Igo
Inspection by: "'I EHS 2259 - Michaud, Kenneth
wav—
LNSrRUCT10NzS Purpow. General Statute 130,A-236 requires the Commission for Health Sennices to adopt rules governing the sanitation oftcublic,
private, and religious schol This fonn has been dmelol record the results of such inspections, Preparation: Local environmental health
specialists shall complete die forra 0'en� dine they conduct an inspection. Prepare original and tivo copies for 1. Original to be left %vith principal,
Copy for the local health department, 3. Cop, for the Errkironmenral Health Seni,ces Secfiol Di%i sion of EnNircrunental Health Misposi tion:
Please refer to Reccrds Reterd on and a sposifion Schedule 8 B.6., Inspecti on Recoll for County Di stri ct Health Departments which is publi shed by
the NN4th CarotivaDivism-oll Archives & History,Additional forms may be ordered From: Division of Environmental Heal, di,, 1632 ),W1 Senvlce
Ceriter, Raleigh, NC 277699-1632, (Courier 52-01 -00)
DENR 1163 kRevised 7°05)
Emironmental Health Services Section (Review 7�08)
N. Department of Ervvironment and Natural Resources Nw-ne, RtACK5WNELFk1,ENT9%RYSC":XX
Miicinn oaf Pn%,Arnnmanfvd WaQlth
COMMENTADDENDUM
ID: 2018440004
Street: 4377 W NC 10 HWY
City NEWTON
Trme In, 0 3 0 4
Time Outi 0 3 0 70
- 1E
Total Tlme: 3 fnnut es
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REPAIR BROKEN FLOORS, WALLS, AND, CEILING TILES IN BATHROOMS" REPAIRIREPAINIT TEACHER BATHROOM ON El
HALL
7 COULD USE MORE, STORAGE - MAKE SURE ITEMS, ARE KEPT OFF FLOOR IN STORAGE ROOM
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