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an aoaquih County <br /> Hnvi onthental .Health gi+rioion <br /> 445 Si Sari doaqu in .Street <br /> S oCkton CA 95201 - <br /> Land ii Performance 209) 4�8�34Z0 <br /> Standards <br /> CX.R, 17683 <br /> Facility Name! NFac ertiy File Inspect ake: i <br /> Facililty Locat on: ;, I� �� ; / Time n: <br /> Inspector! Received gy►: ,, r <br /> Time out! <br /> is <br /> Temperature! Wind:Conditiong: Moisture Conditions: Sky onditiong! <br /> Shade! Attractant <br /> G �4cn r - <br /> Scudder drill CoUnt / 8pecieg <br /> 4 g :x <br /> 5 10 <br /> Check ( ,� Presence of Moequitoeg, Waepe;_ Cockroachae ;:,and other Vloctorg! <br /> Box <br /> (Monthly) <br /> Number of bomegtic Alts Trapped. (SinCe PreVloug zrngpaCtion) <br /> .t <br /> (Monthlyl . <br /> Number of Field Rodents Obgerired (Signs of Presence) ,. <br /> I (Monthly) 4vdw e <br /> fl �" <br /> odors l:r <br /> Fire Hazard! <br /> Litter: <br /> Low - Cr5ellK <br /> comments: e(/ ' <br /> BH 08 04 <br />