Laserfiche WebLink
ota�tfy. SAN JOAQUIN COUNTY <br /> - y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street Stockton, CA 95202-3029 <br /> a�:.- . .:•;�• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �rPOR� <br /> 7 j-7 VECTOR CONTROL INSPECTION FORM <br /> DBA INSPE ON E <br /> Structure 711fianure <br /> ❑ 1. Well Constru 'on PREMISE AD RESS REIN PECTI N ATE <br /> ❑ 2. Cross-Con ction { 3Structure Mafiagement OWNEW10PERA3PIR PHONE <br /> ❑ ❑ 3. SpreadiA and Disking fvqm"� i '<�m? q-um R - 66V <br /> ❑ ❑ 4. Concr a Tanks IN CTION A PROG ELEMENTORD D <br /> ❑ 5. Lag ning I zqmm ap I A 0 110obs <br /> ❑ ❑ 6. Co posting The items below represent code violations and must be corrected: <br /> Structure Operation Bir Disposal <br /> ❑ ❑ 7.Aurying with r of Cover <br /> ❑ ❑ 1 Approved Concrete Tank r <br /> ❑ ❑ 9. Removal from Premises n <br /> Structure Operation Vector Control <br /> ❑ ❑ 10. Domestic FI / <br /> 11. Fannia FI m <br /> El Fannia <br /> Larvae L° J i <br /> ❑ 13. Pupae d <br /> ❑ ❑ 14. Adult e <br /> ❑ 1:115. Light Population <br /> El 16. Moderate Population t red <br /> Irl0A ItVA <br /> ❑ ❑ 17. Heavy Population <br /> StructureOperation FeedinglWater <br /> ❑ ❑ 18. Water Troughs <br /> ❑ ❑ 19. Cups or Bowls PkamLs h <br /> 20. Food Storage 'Icle <br /> S cure Operation Houses <br /> ❑ 21. Floors <br /> El 11 22. Walls/Ceilings <br /> ❑ ❑ 23. Cleaning Frequencx d <br /> V' in 0 <br /> 6 <br /> IkOpLratlon Wate Well <br /> ell Construction <br /> El s Connection <br /> loors11 3. P rl Graded to Sewer <br /> 4. rain <br /> -5 mooth/Cleanabie <br /> 6. Covin171 7. nin Frequency <br /> ❑ ❑ 8 mooth/Cleanable <br /> El P1 - 1:19 ning Frequency <br /> Structure Operation a <br /> WJT <br /> ❑ ❑ Condition <br /> nitation <br /> Strut Operation <br /> ❑ ❑ 12. Storage <br /> 13. Insect/Vermin <br /> sw ure enation Animal Dis anal <br /> ❑ 14. Removal from Premises <br /> ❑ ❑ 1 <br /> Structure Operation eW iSposal <br /> ❑ ystem < <br /> ❑ ❑ 17 r <br /> Structure operation bier ccination RECEIV INSP OR <br /> Certificate on Premises <br /> VECTOR ROL INSPECTION FORM <br /> EHD 40-06 12/04/08 <br /> Page_of <br />