COMPLIANCE INFO_PRIOR TO 2018 - Laserfiche WebLink

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ora`''" .,.•�E •.o_G SAN JOAQUIN COUNTY X ENVIRONMENTAL HEALTH DEPARTMENT W. 600 East Main Street Stockton, CA 95202-3029 • c� :, �� Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd ��FOR VECTOR CONTROL INSPECTION FORM DBA INSPECTION DATE StructureOperation ❑ ❑ 1. Well Construction PREMIS DRESS RE-INSPECTION DATE ❑ ❑ 2. Cross-Connection t `t Structure Operation Manure Management OWNER/OPERATOR PHONE ❑ ❑ 3. Spreading and Disking ❑ ❑ 4. Concrete Tanks INN TYPE PROGRAM ELEMENT RECO DID El 5. Lagooning S- 90)u nnca ❑ ❑ 6. composting The items below represent code violations and must be corrected: Structure operation Bird Disposal ❑ ❑ 7. Burying with 2"of Cover ( c ❑ ❑ 8. Approved Concrete Tank ❑ ❑ 9. Removal from Premises f Structure Operation Vector Control ❑ ❑ 10. Domestic FI 11. Fannia FI p ❑ ❑ 12. Larvae 1 , Sole dot, ❑ ❑ 1 13. Pupae ❑ ❑ 14. Adult ❑ ❑ 15. Light Population ❑ ❑ 16. Moderate Population , ❑ ❑ 17. Heavy Population Structure Operation Feeding/Water ❑ ❑ 1 18. Water Troughs ❑ ❑ 1 19. Cups or Bowls 20. Food Storage Structure Operation Houses ❑ ❑ 21. Floors ❑ ❑ 22. Walls/Ceilings S o, ❑ ❑ 23. Cleanin Fr uenc C Structure Operation Water Well ❑ 1. Well Construction a 2. Cross Connection rStructure Operation FIOOrS ❑ 3. Properly Graded to Sewer ❑ 4. Drain ❑ 5. Smooth/Cleanable 6. Covin11 Ej 7. Cleanin Fre uenc Op n Walls ❑ ❑ 8. Smooth/Cleanabie ❑ ❑ 9. CleaningFrequency structure Operation Cages ❑ ❑ 10. Condition 1. Sanitation Structure Operation od ❑ ❑ 12. Storage 13. sect/Vermin Structure Operation Ani al Disposal ❑ ❑ 14. R.)00.1 from Premises ❑ ❑ 15. Othe Structure Operation Sewage isposal ❑ ❑ 16. Septic Nystem ❑ ❑ 17. Sewer Structure operation Rabies Vaccination R N Y INSPECT R ❑ ❑ 18. Certificate on Premises VECTOR CONTROL INSPECTION FORM EHD 40-06 12/04/08 Page of