COMPLIANCE INFO_PRIOR TO 2018 - Laserfiche WebLink

Home Browse Search

r ot'aul"' SAN JOAQUIN COUNTY X ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street Stockton, CA 95202-3029 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd �lFOR� VECTOR CONTROL INSPECTION FORM DBA INSPECTION DATE Structure OperationjIn f 1 fa 1 ❑ ❑ 1. Well Construction PREMISE DRESS RE-INSPECTION DATE ❑ ❑ 2. Cross-Connection Structure operation Manure Management OWNER/OPERATOR PHONE ❑ ❑ 3. Spreading and Disking i 0 !; ❑ ❑ 4. Concrete Tanks INS TION E PROGRAM ELEMENT RECORD ID El 62 ❑ 5. Lagooning s- ❑ ❑ 6. composting The items Belo represent code violations and must be corrected: Structure Operation Bird Disposal ❑ ❑ 7. Burying with 2"of Cover ❑ ❑ 8. Approved Concrete Tank ❑ ❑ 9. Removal from Premises Structure Operation Vector Control ❑ ❑ 10. Domestic FI El 11. Fannia FI ❑ ❑ 12. Larvae ❑ ❑ 13. Pupae ❑ ❑ 14. Adult +, ❑ ❑ 1 15. Light Population ❑ ❑ 16. Moderate Population ❑ ❑ 17. Heavy Population Structure Operation Feeding/Water ❑ ❑ 18. Water Troughs ❑ ❑ 19. Cups or Bowls '17 20. Food Storage Structure Operation Houses ❑ ❑ 21. Floors ❑ ❑ 22. Walls/Ceilings ❑ ❑ 23. Cleaning Frequency SEEMENEMM Structure operation Water Well ❑ ❑ 1. Well Construction 2. Cross Connection Structure operation Floors ❑ ❑ 3. Properly Graded to Sewer ❑ ❑ 1 4. Drain ❑ ❑ 5. Smooth/Cleanable El 0 6. Covin )` 7. Cleaning Frequency Structure Operation Walls ❑ ❑ 8. Smooth/Cleanable ❑ ❑ 1 9. Cleaning Frequency Structure Operation Cages ❑ ❑ 10. Condition 11. Sanitation Structure Operation Food ❑ ❑ 12. Storage 13. Insect/Vermin - Structure Operation Animal Disposal ❑ ❑ 14. Removal from Premises ❑ ❑ 15. Other Structure Operation Sewage Disposal ❑ ❑ 16. Septic System ❑ ❑ 17. Sewer Structure operutbn Rabies Vaccination RECEIVED BJINSPECTO ❑ ❑ 18. Certificate on Premises VECTOR CONTROL INSPECTION FORM EHD 40-06 12/04/08 Page of