COMPLIANCE INFO_1994-2013 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ago ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street Stockton, CA 95202-3029 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.orglehd �rFOR VECTOR CONTROL INSPECTION FORM DBAI SgEC D E Structure Operation Water Well /07 ❑ ❑ 1. Well Construction PREMISE ADDRES E-1 P FO AT ❑ ❑ 2. Cross-Connection t Structure Operation Manure Management OW OPE TOR P ONE ❑ ❑ 3. Spreading and Disking LA ❑ ❑ 4. Concrete Tanks INSP TION PE PR RAM ELEMENT CORD ID El 5. Lagooning L 66D ❑ ❑ 6. Composting T e items below represent code violations and m st be corre d: Structure Operation Bird Disposal ❑ ❑ 7. Burying with 2"of Cover e-- ❑ ❑ 8. Approved Concrete Tank ❑ ❑ 9. Removal from Premises Structure Operation Vector Control ❑ ❑ 10. Domestic FI 11. Fannia FI ❑ ❑ 12. Larvae / F ll [:3 13. Pupae ❑ ❑ 14. Adult ❑ ❑ 15. Light Population ❑ ❑ 16. Moderate Population ❑ ❑ 17. Heavy Population Structure Operation FeedinglWater :� Q ❑ ❑ 18. Water Troughs ❑ ❑ 19. Cu s or Bowls 20. Food Storage Structure Operation Houses ❑ ❑ 21. Floors ❑ ❑ 1 22. Walls/Ceilings J ❑ ❑ 23. Cleanin Fr uenc Structure Operation Water Well _ ❑ ❑ 1. Well Construction ®Ir• 2. Cross Connection lr Structure Operation Floors ❑ 3. Properly Graded to Sewer ❑ ❑ 4. Drain ❑ ❑ 5. Smooth/CIeanable El 6. Covin 7. Cleaning Frequency Structure Operation Walls ❑ ❑ 8. Smooth/Cleanable ❑ ❑ 9. Cleanin Frequency Structure Operation Cages ❑ ❑ 10. Condition 11. Sanitation Stricture Operation Food ❑ ❑ 12. Storage 13. insect/vermin Structure Operation Animal Dis sal ❑ ❑ 14. Removal from Premises ❑ ❑ 15. Other Structure Operation Sewage Disposal ❑ ❑ 16. Septic System ❑ ❑ 17. Sewer Structure Operation Rabies Vaccination RECEIVED BY INSP R ❑ ❑ 18. Certificate on Premises VECTOR CONTROL INSPECTION FORM EHD 40-06 12/04/08 Page � of