HomeMy WebLinkAboutBlackburn Elementary Kid Connection Visit 420097 11 07 14.sc.pdf- 9 0
CONNECTION
Establishment ID: 2018420097
El lnspection El Re -inspection
El Visit
City: NEWTON State: NC 0 Verification
County: 18 Catawba zip: 28658 El Name Change
Wastewater System: El Municipal/Community El On -Site System EE Status Change
Water Supply: E] Municipal!C o mm unity E] On -Site System El Pre -Opening Visit
DormiffmME COMMUNITY SCHOOLS
Date: I I / 0 7 / 2 0 1 4
Status Code: H
Category #: N/A
Email
am
Time In: 0 .1 0 3 6 @ Pm
El Other 0 am
Time Out: 0 a 3 7 (1� nm
Telephone: Water Sample taken? FlYes F—] No Total Time: 1 minute
ITemperature Observations
Item Location Temp Item Location Temp Item Location Temp
Observations - Corrective Actions - General Comments
' UNDER NEW MANAGEMENT - CATAWBA COUNTY SCHOOLS
*GC
Person in Charge (Print & Sign):
Regulatory Authority (Print & Sign):
First
First
SCOTT-
REHS ID: 1711 - Carpenter, Scott
Last
Last
CARPENTER
REHS Contact Phone Number:
North Carolina Department of Health& Human Services *Division of Public Health 0 Environmental Health Section * Food Protection Program
A DHHSis an equal opportunity employer.
Page 1 of 1 FoodEstabtishmentinspection Report,3f2013