COMPLIANCE INFO_2009-2016 - Laserfiche WebLink

Home Browse Search

Aa lIN•• SAN JOAQUIN COUNTY i ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, California 95205-6232 • �q.,- .::,..�P• Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <<F ORS VECTOR CONTROL INSPECTION FORM mmimmmimmm DB IE TIONATE Structure Operation %- ❑ ❑ 1. Well Construction PREMISE ADDRESS RE-IN PE TI N DATE ❑ ❑ 2. Cross-Connection 91�SIz Structure Operation Manure Management OW OPE TOR PHONE -y 1:1 113. Spreading and Disking / ❑ ❑ 4. Concrete Tanks INSPECTION TYPE PROGRAM ELEMENT RECORD ID ❑ ❑ 5. Lagooning ❑ ❑ 6. Composting The items below represent code violations and must be corrected: Structure Operation Bird Disposal c ❑ ❑ 7. Burying with 2"of Cover ❑ ❑ 1 8. Approved Concrete Tank C ❑ ❑ 9. Removal from Premises Structure Operation Vector Control ❑ ❑ 10. Domestic FI El 11. Fannia FI c ❑ ❑ 12. Larvae ~ 5 V ❑ ❑ 13. Pupae ❑ ❑ 14. Adult ❑ ❑ 15. Light Population ❑ ❑ 16. Moderate Population ❑ ❑ 17. Heavy Population Structure Operation Feeding/Water Pxjo ❑ ❑ 18. Water Troughs ❑ ❑ 19. Cups or Bowls 20. Food Storage Structure Operation Houses ❑ ❑ 21. Floors ❑ ❑ 22. Walls/Ceilings WS t AJ ❑ ❑ 23. Cleanin Fre uenc Structure Operation Water well ❑ ❑ 1. Well Construction 2. Cross Connection Structure Operation Floors 3. Pro erl Graded to Sewer ❑ ❑ 4. Drain b ❑ ❑ 5. Smooth/Cleanable 6. Covin 11 7. Cleaning Frequency Structure Operation Walls ❑ ❑ 8. Smooth/Cleanable ❑ ❑ 9. Cleaning Frequency Nowe Structure Operation Cages ❑ ❑ 10. Condition El 1:1 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 Operation Rabies Vaccination RECEIVED BY INRIPIECTL. a ❑ ❑ 18. Certificate on Premises VECTOR CONTROL INSPECTION FORM EHD 40-06 4/6/12 Page_of_