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SAN JOAQUIN COUNTY , <br /> 401- x <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �IFOR <br /> P'# 000 a5, c9 VECTOR CONTROL INSPECTION FORM <br /> I1NS^P1E TION D pTEE <br /> Structure Operation �l L n +�i 1 V V <br /> ❑ ❑ 1. Well Construct n PREMISE ADDRESS RE-INSPECTION DATE <br /> ❑ ❑ 2. Cross-Conn ion U + v <br /> Structure Operation Manure Ma0gement OWNER/OPERATOR PHONE <br /> E] ❑ 3. Spreadin and Disking a(f " ���� - 033 <br /> ❑ ❑ 4. Concr Tanks I%PECT14 TYPEPROGRAM ELEMENT RECO q�)p ID <br /> El 5. Lago ping i C i "i'� V i) <br /> ❑ ❑ 6. Co posting The items below repre ent code violations and must be corrected: <br /> Structure Operation Bir Disposal <br /> ❑ ❑ 7 Bu in with 2"of Cover <br /> ❑ ❑ <br /> Approved Concrete Tank <br /> i A + �; �'qr t f <br /> 1:1 �j�K❑ 9. Removal from Premises t 4°1r�� 1 �1Cd 0bsrery Ifs <br /> Structure operatio Vector Control + '' <br /> - <br /> E] ❑ 10. Domestic FI �( .�h Il <C 1 `V �dY Cp Ld <br /> El 11. Fannia Fly <br /> El12. Larvae A ' �C C' `I <br /> ❑ 13. Pupae <br /> ❑ ❑ 14. Adult C❑ ❑ 15. Light Population <br /> ❑ ❑ 16- Moderate Population <br /> ❑ ❑ 17. Heavy Population <br /> Structur Operation Feeding/Water <br /> Ey ❑ 1 18. Water Troughs <br /> El El 19 Cu s or Bowls (_/ <br /> Y_ 6 Q r CIA Y- 0Lc5 _ C <br /> ❑ E] 20. Food Storage <br /> Structure Operation Houses <br /> ❑ ❑ 21. Floors (� /?�, <br /> ❑ El 22. Walls/Ceilings J• �V� S l�'lC.-vLo <br /> ❑ ❑ 23. Cleanin Fr uenc a. <br /> Structure Operation Wat@ <br /> ❑ ❑ 1. ell Construction <br /> 2. ross <br /> Structure Operation onn ion _bi- ,,• I o con S l <br /> Floors <br /> ❑ ❑ 3. Propel Graded to Sewer <br /> ❑ ❑ 4. Drain n <br /> ❑ fL1 5. Smooth/Cleanable ] <br /> ❑ ❑ 6. Covin 1 • <br /> E] El 7. Cleaning Frequency <br /> Structure Operation Walls <br /> ❑ r 8. Smooth/Cleanable 1 ) Ven <br /> /�j <br /> ❑ 9. Cleanin Fre uenc V V GC � CJ V n r C'1 <br /> Structure Operation Cages <br /> ❑ 10. Condition �� !'" e�-S f ory /o 1 <br /> ❑ 11. Sanitation <br /> Structure Operation Food <br /> ❑ 4 12. Storage <br /> Cc 13. InsectfVermin <br /> Structure Operation Animal Disposal <br /> ❑ 14. Removal from Premises <br /> ❑ ❑ 15. Other <br /> Structure Operation Sewage Disposal <br /> ❑ 1 Se ti tem <br /> ❑ ❑ 17. Sewer hn IQ - �((I <br /> Structure Opertition Rabies Vaccination RE INSPECT , ".� <br /> ❑ `'tri 18. Certificate on Premises <br /> VECTOR CC N ROL INSPECTION FORM <br /> EHD 40-06 12/04/08 <br /> Page_of_ <br />