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f <br /> Sen a0d in Count <br /> Enviranthenta He n givisio <br /> 445 Si sari doaauin street <br /> 9oCkton CA 95201 ; <br /> Land ill Performance 209) 449�3420 , . <br /> Standards <br /> CoC.R, 17683 <br /> Facility Name: ; Number eiity File Inspection na •� <br /> Facililty Location! k ; Time in: <br /> Inspector! Recei+ted. gy: <br /> z ' Time out. <br /> Temperature! Wind Conditions Moisture Conditions sky Conditions: <br /> eve �... <br /> Shade: Attractants: <br /> Scudder Grill Count / Species '' t <br /> f. <br /> 2 7$. <br /> 4 <br /> 5 10 <br /> f• <br /> Check presence of Mosquitoes, Wasps+ Cockroaches end other Vectors: <br /> Box <br /> (Monthiy� <br /> Number of Domestic gate Trapped (since previotte, inspection) t <br /> (Monthly' <br /> Number of Field kodents Observed (Signs of 'Presence) G <br /> { <br /> (monthly) <br /> Odor: pp <br /> Fire Hazard: <br /> Litter: <br /> Comments,.2v one <br /> pgfQOA :w /W L <br /> ad!gAA <br /> 914 08 04 <br />