HomeMy WebLinkAboutBalls Creek Kid Connection 420107 07 18 13.pl.pdfN.C_ Deprtnent ofEn,.ironnent and Natwal Resoirces D em ch t 10
Division of Environmmtl �kalth
Health Departm ent 18
Sanitation Standards valuation
Date of lnqpChg 0 7 1 1 8 / a 0 1 3
Current Facility ED 2018420107
Form for Chid Care Centers
Status Code, A
Old Facility, ID
Classification- [Esuperjor DApprovea
-
___T]D,sapproVed
1-1provisiorial Water Sample taken
Yes
today? No
Water Supply- [j]Community
EBlum-.'Transient Non -Community
-enspection
1:1 Name Change
Transient Non-Cornmunity ONon-Pubtic Water Supply
2 Re-inspectton
Verification of Closure
Wastewater Svstem: Community
M
TO n-Site Systern
MV Visit
H Status Change
Licensing D) \o: M axImiu M Capacity
Nameoffacility, BALLS CREEK KID CONNECTION
�IM 11111111 *1 11 01&11�1410willtki 1111111 MMIlw�r Me
0 Comment Sheet AttachedF_]Yes f-] No
Cit-Y71017M Sune-NC Zip: 28658
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N,C. Department of Environment and Natural Resourses NameBALLS CREEK KID Time In: 0 8 5 D [Earn
CONNECTION P M
Divisn of Environmental Heath ID: 2018420107 Time Out: q Q am
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Total Time: 1 hr 7 minutes ripm
General Comment? E]Yes