HomeMy WebLinkAboutBalls Creek Elementary School 440001 01 29 13.pl.pdfN,C, Department. of Environment and Hatural Resources 94.5
Division of Envirant'nental Vealth Score ----------- - - __
Inspection of School
Date of Insp/chg: o 1 / a 9
Status Code-, A
Health D epartment 18
2 0 1 3 1 CurrentFacility lit 2018440001
0 1 d Facility ID
Water WCommunity
�Transienl Non -Community
on -Transient Non -Community
on -Public Water Supply
Wastewater Systerm [1]'Community Mon -site System
Name ofschooi: BALLS CREEK ELEM SCH
Water sample taken toctay? Inspection
Name Change
Ily e S R1 No 2 Re -inspection Verification of Closure
EV Visit Status Change
Location Address: 2620 BALLS CREEK RD Ma ih ng Ad dr .
at:y® NEWTON stet ec NC zip. 28658 City: State: Zip::
Score contments
l,'vVATERSUPPLY ' Approved water supply p roperly located, SEE COMMENT SHEET ATTACHED
constructed, and operated, adequate for all requirements 130*,, well 175
house clean, no storage 15*;, no cross connections 30* (2405), . ..... _
2, SANITARY SEWAGE, DISPOSAL-, Sewage collected, treated, and
disposed of by an approved method 15 0*, system properly operated 205
and maintained 55* (2407)
3, DRINKING FOUNTAINS: Clean and in good repair 40#, adequate 80
pressure, properly regulated 404 ( 2406,) ....... _ ........ .................
4, TOILET FACILITIES: Walls and ceilings clean, nonabsorbent,
washable, and in good repair 30-4, fixtures clean and in good repair 100
40#; floors impervious, kept clean 3 0# ( 2408) ............................
5, LAVATORY FACILITIES: Fixtures clean and in good repair 30#, soap
and individual towels or approved hand -drying devices provided 40# 70
(2409) ------- __.....11 ---
6, FLOORS, WALLS: AND CEILINGS: Floors, walls, and ceilings clean 30 15
and in good repair 30# (2410) 1 1 .. 1 - 1 ........ 40 10
7, STORAGE SPACES , Clean 20#, storage off floor 20# (2411) ..........
8, LIGHTING AND VENTILATION: Fixtures, grills, vents, blinds, drapes, 40
etc., clean and in good repair 40# (241Z)____
9, DRESSING ROOMS AND SHOWERS; Floors, walls, and ceilings
clean, in good repair, washable, non -absorbent 30#, fixtures clean, in
good repair 40#, facilities for storage of clothes provided, kept clean 100
ZO#, soap and towel 10* (2413) ...... � � -
I OSO ED AST D I SP 0 SAL , I . -pervious, cleanable containers W ith
lids, approved type 20*; clean and in good repair 20#; empties as 80
needed, properly disposed of 4C4 (2414) ........................
I 1. PREIsIISES: MISCELLANEOUS: Premises neat, clean 30#, no vector
breeding or harborage 20#, pesticides and other toxic materials 80 30
properly handled and stored 30* (2415) .......... .............. _._ ......
TOTAL 1000 55
Ad ditional C moment Attached
'C
Inspection by Yes ;ktNo _ 2031 - Levin, Paige
EHS
I1,1STRUCT101,1S Purpose: 'era
#'l Statute 13CA-236 requires the Conurimon far Health Sffvices to adoptrules governing the sanitation of public, private, and
religious schools. TIns forrnhas been developed to record the results of such inspections. Preparation- Local environmental health specialists shall complete the form
every tune they conduct an inspection, Prepare an original andtvm copies for: 1, Original to be left oath principal. 2. Copy fa, thelocal health department. 3, Copy for
the Enviranniental Health Services Section, Divikan of Environroesital Health, Disposition: Please, refer to Records Retention and Disposition Schedule 8B 6,,
Inspection Records for Count;vDistnct Health Departments vAnch is published lay the North Carolina Division of Archives & History, Additional forms maybe ordered
fr= Division of Environmental Health, 1632 Mail Service Center, Raleigh, NC 27699-1632, (Couner 2-01-flit)
DENR It 63 (Revised 7105)
Environmental Health Services Sechon(Review7/08)
K0. Department of Environment and Natural Resources Marne' BALLS GREEKELEMSCH
Division ofErivirionmental Health 0018440001
Street, 2620 BALLS CREEK RD
COMMENT ADDENDUM City: NEWTON
Time In: 1 0 .5 4
Time Out, 1 a 0 0
Total Ttrn1 hr 6 minutes
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