HomeMy WebLinkAboutBlackburn Elementary Kid Connection 420097 07 11 14.ls.pdfN.C_ Deprtnent ofErr,.ironnent and Natual Resources D em ch t 2 Health Departert ent 18
Division of Environmmtl �kalth
Sanitation atatdards valuation Date of lnspChe, 0 7 1 1 1 / a 0 1 4 Curr ent Fact lity, ID 2018420097
Form for Chid Care Centers
Status Code, A Old Fadliq, D)
Classification- Rsuperjor DApproveo ElProvswrial ___T7D,sapproVed Water sample taken today? Dyes [j] No
WaterSupply- [j]Community ENon-Transient Non -Community @]Inspection Name Change
Transient Non-Cornmunity Ohlon-Puofic Water Supply 2 Re -inspection Verification of Closure
Wastewater S-,stem: Community n-Site Systern visit Status Change
M TO NV
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0 Comment S heet Attached 0 Y es No
operator: COMMUNITY SCHOOLS
cit, NEWTON stat,�C zip: 28658
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N,C. Department of Environment and Natural Resourses NameLACKBURN ELEM KID Time In: 1 1 1 4 [Earn
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Division of Environmental Health ID: 2018420097 Time OuL 1 1
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Street: 4377 W NC 10 HWY Total Time: 2 minutes Prn
COMMENT ADDENDUM
PW NEWTON
General Comment? [:]Yes
G. Department of Enviranment and Natural Recourses
Division of Emronmental Heafth
Nij,rT-- BLACKBURN ELEM KID
CONNECTION
2018420097
Street 4377 W NC 10 HWY
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