COMPLIANCE INFO_PRIOR TO 2018 - Laserfiche WebLink

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o�Qul" SAN JOAQUIN COUNTY Z< ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street Stockton, CA 95202-3029 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <<FOR VECTOR CONTROL INSPECTION FORM DBA __q � INP CTI TE Structure Operation Water Well 1 ❑ ❑ 1. Well Construction PRE SS REIN PECTIO ATE ❑ ❑ 2. Cross-Connection Structure Operation Manure Management ERPH ATOR E El EIW 3. Spreading and Disking - ❑ ❑ 4. Concrete Tanks I SPE ON TYFE f PROGRAM ELEMENT RECORD ID ❑ ❑ 5. Lagooning ❑ ❑ 6. composting The Items below represent code violations gfnb must be correct 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 11. Fannia FI 12. Larvae �. ❑ ❑ 13. Pupae ❑ ❑ 14. Adult S ❑ ❑ 15. Light Population ❑ ❑ 16. Moderate Population E e ❑ ❑ 17. Heavy Population Structure Operation Feeding/Water ❑ ❑ 18. Water Troughs ❑ ❑ 19. Cups or Bowls 20. Food Storage Structure Operation Houses w ❑ ❑ 21. Floors ❑ ❑ 22. Walls/Ceilings VVj ❑ ❑ 23. Cleanin Fr uenc nommom Structure Operation Water Well ❑ ❑ 1. Well Construction 2. Cross ConnectioA Structure beeration Floors ❑ \ 3. Properly Grad to Sewer If rr ❑ 4. Drain ❑ ❑ 5. Smooth/ eanable j El 6. Covin Cleani Frequency Structure Operation Wkils ❑ ❑ 8. S th/Cleanable ❑ ❑ 9. C144ing Frequency Structure Operation Cag6s ❑ ❑ 10. Condit n 111 Sanitati Stricture Operation F od ❑ ❑ 2. Storage El 3. Insectivermlo Structure Operation Animal Dis I 11 El 14. Removal from Elxmises ❑ ❑ 15. Other Structure Operation Sewage Disposal ❑ ❑ 16. Septic System ❑ ❑ 17. Sewer Structure Oper9tion Rabies Vaccination RECEIVE Y INSPECTOR ID 1118. Certificate on Premises <. VECTOR CONTROL INSPECTION FORM EHD 40-06 12/04/08 Page of