Laserfiche WebLink
QuiN <br /> oA �oSAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> �q.. :..•;P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> SIF ORt, ® ®pp <br /> VECTOR CONT INSPECTION <br /> FORM <br /> DBA INSPECTI0 DAT <br /> Structure Operation ��9' /.1 / <br /> ❑ ❑ 7-7, <br /> WellPREMISE ADDRESS RE-INSPECTION DATE <br /> ❑ ❑ Or � <br /> Structure Operation t OWN R/OPERATOR PHONE <br /> ❑ ❑ . preang aingr <br /> ❑ ❑ 4. Concrete Tanks INSIDE TION TYPE PROGRAM ELEMENT RECORD ID <br /> El El 5. Lagooning �/ /O e_r,,P . <br /> ❑ ❑ 6. Composting The items below represent code violations and must be corrected: <br /> Structure Operation Bird Dispo l <br /> ❑ ❑ 7. Burying ith 2"of Cover <br /> ❑ ❑ 8. Approvid Concrete Tank <br /> ❑ ❑ 1 9. Rem al from Premises <br /> Structure Operation VectO Control <br /> ❑ ❑ 10. amestic FI <br /> 11. fannia Fly <br /> ❑ ❑ 12 Larvae cx <br /> ❑ ❑ 1 w. Pupae <br /> ❑ ❑ 4. Adult <br /> ❑ ❑ 15. Li ht Po ulation <br /> ❑ ❑ 16. Moderate Population <br /> ❑ ❑ 17. Heavy Population _ <br /> Q ®'fie <br /> Structure Oper ion Feeding/Water <br /> ❑ 18. Water Troughsy-- <br /> ❑ ❑ 19. Cups or Bowls <br /> 0 13 20. Food Stora e <br /> Structure/ Operation Houses <br /> ❑ ❑ 21. Floors e�r <br /> ❑ 1 22. Walls/Ceilings <br /> ❑ 23. Cleaning Fre uenc <br /> Structure Operation Waterr <br /> ❑ ❑ Well Construction <br /> El n 2. Cross Connection <br /> Structure Operatio <br /> Properly Graded to Sewer <br /> ❑ ❑ . Drain <br /> ❑ ❑ 5. Smooth/Cleanable <br /> 6. Covin <br /> El 171 7. Cleaninq Fre uenc <br /> Structure Operation Wa g <br /> E] ❑ A. Smooth/Cleanable y 7 <br /> ❑ ❑ Frequency <br /> Structure Operati Cage <br /> ❑ ❑ Condition 61 <br /> 11. Sanitation <br /> Structure Operatiojy, ood <br /> ❑ ❑ ora e <br /> 13. insecUVermin <br /> Structure Operation Animal Disposal <br /> ❑ ❑ 4 Removal from Premises <br /> ❑ ❑ 15. Other <br /> Structure Operat on —Sewage Disposal <br /> ❑ ❑ 16. Septic S stem <br /> ❑ ❑ 17. Sewer <br /> Structure Operatioa les Vaccination RECEIVED BY INSPECTOR <br /> ❑ aeon Premises Liz 1 <br /> VECTOR CONTROL INSPECTION FORM <br /> EHD 40-06 4/6/12 <br /> 111 Page of <br />