HomeMy WebLinkAboutBlackburn Elementary School 440004 05 14 14.ls.pdfN,C. Department of EnNintrunent and Natuml Resomws
Division ofEnvironmental Health Score 96
Inspection of School Date of Insp.,"Clig', 0 5 / 1 4
Status Code., A
Health Department 18
-2 0 1 4 Current Faciliry� ED2018,440004
— 101d Facility M ,
Water 13Commundy I i
§Non -Transient Non-Cornmundy Water sample taken today? fflln■Name Change
91 No n:n
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[ZTransient Non-Communiiy ENon-Public Water Supply IT Re in lwn Verification of Closure 1
Wastewater System: MCommunity 130n-Sde System Fy] visit Status Change
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City- RETT70-A state: NC zip: 28658 City-,
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1. WAT ER SUPPLY -1 Ap prmed w ater supp ty properly to cated.
constructed, and operated, adequate for all requirerneats 13 0 �; well 175
house clean. no storag�e 15*- no cross connections 30* (.2405)
2, SANITARY SENVAGE DISPOSAL - Sewage collected, treated, and
disposed of by an approved method 150*; system properly operated
.105
and maintained 55* ( 2407)
3. DRINKING FOUNTAINS- Clean and in good repair 40#'- adequate so
pressure, properly regulated 400 (2406) ........ ---------- __ ......................
4.'TOIL ET FACILITIES: Walls and ceilings clean, nonabsorbent
washable, and in good repair 30#; fixtures clean and in good repair 100
4041- floors impervious, Dept clean 300i (2408)
5. LAVATORY FACILITIES, Fixtures clean and in good repair 30z14; soap
and individual towels or approved hand -drying devices provided 404' 70
('2409) ___ .............. ------ _1111
6, FLOORS- WALLS- AND CEILINGS: Floors, wall& and ceilings clean
30 15
and in goo repair 30# (2410) 40 10
7. STORAGE SPACES.- Clean .10'F, storage off floor-20-1-4 (2411)
8. LIGHTING AND VENITILATION, Fixture , grills, vents, blirids. drapes 40
etc., clean and in good repair 404 (2412) _ ......
9. DRESSING ROOMS AND SHOWERS: Floors, walls, and ceilings
clean, in good repair, washable, non -absorbent 304'- fbxtures clean, in
good repair 40#'; facilities for storage of clothes provided, kept clean 100
204, soap and towel 10* (2413)__...
10. SOLID WASTE DISPOSAL: Impervious, cleanable containers with
lids, approved type 20*; clean and in good repair 20#; empties as so
needed,, proper!,,, disposed of 4N,
11 PRENUSES: MISCELLANEOUS- Premises neat, clean 30#-, novectcT
breeding or barbonage 20*1 pesticides and other toxic materials so
properl0andled and stored 30* (2415)
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State: Zip.
Scotia Comments
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Additional Comment Sheet Attached
El Yes /N 0
Inspection by E H S 1896 - Sears, Luke
D�STRUC .. se- Gen StatuteD A-236 requires the Commission for Health Setvices to adopt rules goog the sanitation of Public, private, and
religious sc s- This to= has develo torecord the results of such inspections, Preparadon. Local emironmental health specialists shall complete the form
ei.,erytimethn, conduct an n pectic e an onginal and two copies for 1. Original to be, left Niath principal. 2. Copy for the local health departim ent, 3fo - Copy r
the Lvironmental Health &-r~ices Section, Division of Environmental Health. Dispositiow Please, refer to Records Retention and Disposition Schedule 83, 6-,
Inspection Records for CcurnvDistrict Health Departments -ndfich is published by the firth Carolina Division of Archives & History, Additional forms may be ordered
from: Division ofEnvironmentalhealth, 1632 Mail SemceCenterRalei_4i,-_\TC 27699-16.12, Fourier 52-01-00)
DE-N�R 1163 (Revised 7'051
Emironmental Health Senn Section (Revrievv 7,08)
N,C, Department of Environment and Naturaf Resources Name: BLACKBURN ELEMENTARYSCHOOL
Division of Environmental Health 01 2018440004
Street 4377 W NC 10 HWY
Time 1w 1 a 3 9 El
1E
Time Out: 1 a 5 0 Ej
Total Time: 11 minutes ly
XEEP ALL ITEMS LABELED HAZARDOUS OUT OF THE REACH OF CHILDREN. FOUND CLEANERS UNDER SINKS IN
CLASSROOMS.
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Name- BLACKBURN ELEMENTARY
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