COMPLIANCE INFO_1998-2017 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT to: . �.. 1868 East Hazelton Avenue, Stockton, California 95205-6232 • �q.; :,�;e • Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd VECTOR CONTROL R1 S ECTION FORM DBA INSPECTION DATE Structure Operation Water Well ❑ ❑ 1. Well Construction PREMISE ADDRESS RE-INSPECTION DATE ❑ ❑ 2. Cross-Connection W636 AF- Structure Operation Manure Management OWNERIOPERATOR n PHONE ❑ ❑ 3. Spreading and Disking T86-- ❑ ❑ 4. Concrete Tanks INSPECTION TYPE PROGRAM ELEMENT RECORD ID ❑ ❑ 5. Lagooning A o, 1 419S ❑ ❑ 6. Composting The items below represent code violations and must be corrected: Structure Operation Bird Disposal ❑ ❑ 7. Burying with 2"of Cover ^S ❑ ❑ 8. Approved Concrete Tank O. ❑ ❑ 9. Removal from Premises Structure Operation Vector Control ❑ ❑ 10. Domestic FI El 11. Fannia FI ❑ ❑ 12. Larvae ❑ ❑ 13. Pupae ❑ ❑ 14. Adult Mo IAA"jo ❑ ❑ 15. Light Population 14 ❑ ❑ 16. Moderate Population ❑ ❑ 17. Heavy Population Structure Operation Feeding/Water ❑ ❑ 18. Water Troughs ❑ ❑ 19. Cups or Bowls 20. Food Storage Structure Operation Houses ❑ ❑ 21. Floors ❑ ❑ 22. Walls/Ceilings ❑ ❑ 23. Cleanin Fregenu 9 `t Structure Operation Water Well ❑ ❑ 1. Well Construction 2. Cross Connection Structure Operation FIOOfS � I 3. Properly Graded to Sewer ❑ ❑ 4. Drain ❑ ❑ 5. Smooth/Cleanable El 6. Covin f 7. Cleaning Frequency Structure Operation Walls y ❑ ❑ 8. Smooth/Cleanable ❑ ❑ 1 9. Cleaning Frequency Structure Operation Cages a ❑ ❑ 10. Condition I El 11. Sanitation QQ Structure Operation Food f ❑ ❑ 12. Storage 13. insect/vermin Structure Operation Animal Disposal ❑ ❑ 14. Removal from Premises I hip ❑ ❑ 15. Other Structure Operation Sewage Disposal { ❑ ❑ 16. Septic System Vf , ❑ ❑ 17. Sewer Structure Operation Rabies Vaccination RECEIVEb NSPECTOR / E] 1:118. Certificate on Premises VECTOR CONTROL INSPECTION FORM EHD 40-06 4/6/12 ag f