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n ioaq�in CQuttnt <br /> RnX bmentel Health 3treeton <br /> 4 e. ggan Jon_t�u <br /> \ '� telt C448-3420201 <br /> �d iill-Performance ` 209 <br /> C� � 76A� <br /> i ItT No"I ac lity Fila znrpectio v tot <br /> e r s -77110 ,.2— <br /> Facililty 14pationtTime in: <br /> L --39-44ocj�L - <br /> tnspoo ri Received Bys <br /> • Time out t <br /> e oerature s ind Conditions Moisture Conditions! sky Conditions: <br /> �U <br /> Shade a <br /> rttraWIN 111, 11 <br /> ctante: <br /> der Grill Count ps'C est <br /> e <br /> 2 y �- <br /> e <br /> 9., <br /> 5 <br /> to wd� i�r <br /> Check Presence of Mosquit <br /> Box tree, Wagps, Cockroaches and other Vectors: <br /> (Monthly) --�` <br /> Number of Domestic Rate 'mapped (Since Previous Inspection) : <br /> (Monthly) <br /> Number of Field Rodents observed (Signs of Presence) : <br /> (Monthly) <br /> odors <br /> Fire Hagards <br /> Litters <br /> Commentsit <br /> HH 08 04 <br />