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1 <br /> n boa Rin County <br /> 19n ht�lentel Health �itrision • <br /> 4 s. afi oloa in street <br /> a 20 �OV60TA 201 <br /> »d i1 performance <br /> il <br /> rltpility no"f, <br /> � Facility File Inspectionnate: <br /> Number: -7 Z Z <br /> Time in: <br /> tri fors Rec ivied Syt <br /> Time out: <br /> emperaturet ind Conditionst Moisture Conditions: sky conditions: <br /> had0: Attiactantat �— <br /> ecu der tri11 Count / Sp-4@9 <br /> a <br /> 4 5 <br /> 5 10 <br /> M 1182 <br /> Check ( , presence of Mosquitoes, Wasps, Cockroaches and other vectors: <br /> ox <br /> 01 <br /> Number,of Domestic Rats 'frapppd (Since previous Inspection) : <br /> (Monthly) � -- <br /> Number of Field Rodents observed (Signs of presence) : <br /> (Monthlyi /u <br /> ort <br /> Fire Hasardt <br /> Littert <br /> Comments: . _ <br /> KH 08 04 <br />