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an Joacruin Count <br /> Fnvironmentdl Healih Ihivision <br /> 445 S. San Joaqu n Street <br /> StocktonCA 95201 <br /> Land it1 performance (209) U0703420Stan arch <br /> C.C.R. 17683 <br /> Facility Name: Facility File Inspection Date: <br /> Number: <br /> Facililty Location: Time in: <br /> Inspector' Recei ed By: <br /> Time out: <br /> -rte( o ,-.Jr <br /> emperature! Wind Conditions : ® Moisture Conditions ! Sky Conditions : <br /> �+ � /K.U G (.+�r d"� 5/1;j�7 A <br /> Shade: Attractants : V <br /> Scudder t3rill Count / Species <br /> s O <br /> 2 O 7 2- <br /> 3 <br /> 4 Z 9 Z- <br /> 5 / 10 v <br /> Check ( 41 Presence of Mosquitoes, Wasps, Cockroaches and other vectors : <br /> Box <br /> (Monthly) <br /> Number of Domestic Rats Trapped (Since Previous Inspection) : <br /> (Monthly) N 0 <br /> Number of Field Rodents observed (Signs of Presence) : <br /> EI (Monthly) <br /> Odor: <br /> Fire Hazard: <br /> i (C S G cr2 ca cY t� S C U( <br /> Litter: <br /> 0-k— <br /> Comments: <br /> k-Comments: <br /> , n C/ Co `{ f <br /> .114G (ZAhWC JKjQw / <br /> E /P <br /> EH 08 04 <br />