Building #20 LL Housing Inspection 1988 e..(nNt.fNWEALTH OF MASSACHUSE L Lb ,^
OFFICE FOR CHILDREN
HEALTH INSPECTION REPORT
to certify that BU/1O//Y° 4120 LeWE•P LE✓EG =et Vis
A. ress
sected on O�TL�6F /9 y
ate
ve
Pt
Yes ✓ Mn
itchen facilities NIA N
Yes
✓ No
Yes ✓ No
No
:N Ce of
BOARD OF HEALTH
71V5 fij fitt. AriON hasp c.
nal
nspector
or/ /z, 2/& No-'f//mti N 42,a
nspec r. , Agency or I-Parrmen
facility complies with Chapter II of the State•Sanitary Ode nd other regulations
SNrPirwN Rcgl:-'s. YID KiG> aci. OR.,W+"rH?,,,n.,dN
to the following areas: sv SN�>srl+
cod Storage, Preparation, and Service
)(Municipal Private
'ater Suppl
lot Water Temperatures ✓
yE5 saniratim, uell/fl )ts Yes
;athrmm Areas - # of fixtures _,
x Municipal
Sewage System
Lightin• and Electrical Operations
Heat
Ventilation
Smoke Detectors
Exits
Asbestos /F D //#Tafo
Garbage and Rubbish Disposal and Storage
Control of Insects, Rodents, and Skunks
Yes / No Conditional
Private
Yes ✓
Yes L✓
Yes ✓
Yes ✓
Yes ✓
Yes ✓
Yes ✓
Yes ✓
Yes ✓
oved:
No
No
No
No
No
No
No
No
No
NONE Rf4Vlk-D 1igne• inspector epresentative n
xlmendations: inspect' g authority)
trey to givul mly can, in the rpinirn of tie i< Sams. ty,chiael 's ha:ad will d
bea dal l tkm of mtei nira plia �� a regular lid cal be
be angered in ice facility iro to ob bit c
sfy ptv✓isirnal licasirg recMxa'rnts, hit o:rtifiratim m.ESt
ase send a copy of this report to:
JOHN FOLLIT .
SUISTITUTE CANE LICENSING SPECIAL!,
OFFICE FOR CHILDREN
15 MULBERRY STREET
SPRINGFIELD, MA -01105