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Bethlehem U M Child Develop 420142 05 13 14.jh.pdf
N.C- Deprtnent ofEmirs nnent and Natual Resoirces D em ch t 4 Division of Environtl mm�kalth Health Departm ent 18 Sanitation Standards valuation Date of lnspChg 0 5 113 / .10 14 Ct=ent Facility ID 2018420142 Form for Chid Care Centers Status Code, A Old Facility,, ID C[Esuperjor DApprovea - 1-1provisio.al ed Water Sample taken elassification- toda)(? Ys No WaterSupply- [j]Community ENon-Transient Non -Community Rinspectron 1:1 Name Change Z Transient Non -Community ONon- Pufalic Water Supply 2 Re�nspecbon Verification of Closure Wastewater-Svstem: [Ecommunity [�]Dn-site System V Visit N H Status Change Licensing D) \o: M aximu rn, Capacity Nameoffacility, BETHLEHEM U M CHILD DEVELOP 0 Comment SheetAttached [:]Yes No opemtoc BETHLEHEM UNITED METH CENTER City�� CLAREMONT Swe:NO Zip: 28610 0, w • N,C. Department of Environment and Natural Resourses NameETHLEHEM U M CHILD Time In: 1 1 4 4 [Earn DEVELOP L-a--j L-I---J[] P M Divisn of Environmental Health ID: 2018420142 Time Out: Street: 3214 CATAWBA STREET COMMENT ADDENDUM CitY- CLAREMONT I I . I I Total Time: 1 minute PM G. Department of Enviranment and Natural Recourses Division of Emronmental Heafth Naruu. BETHLEHEM U M CHtLD DEVELOP ID: 2018420142 Street 3214 CATAWBA, STREET (--itY -CLAREMONT N.C. Department of Environment and Natural Resoursies Name. BETHLEHEMUM CHILD OF t--Op ID18420142 Street 3214 CATAWBASTREET IMMEMMOMM 149M ivi I A I =4 ki k 9A a] a] =1 lL I Bill 1711 Narne I BETHLEHEM U M CHILD DEVEMP 2018420142 Street: 3214 CATAWBA STREET m8mmimmullm Division of Environmental Health Name, BETHLEHEM U M CHILD EV©» ID 2018420142 General Comments: