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SAN JOAQUIN COUNTY 40 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street Stockton, CA 95202-3029 <br />(209) 464-0138 Web: www.sjgov.org/ehd <br />hio--* Telephone: (209) 468-3420 Fax. <br />==MWMEMMMMM <br />Structure <br />operation <br />Water Iffell <br />DBAINSPECTION <br />__kk <br />I Awftch- <br />DATE <br />I a--- I? - / 0 <br />0 <br />11 <br />1. Well Construction <br />PREMISE ADDRESO <br />18"Vol <br />- <br />ArKib& <br />A <br />RE -INSPECTION DATE <br />1:1 El 2. Cross -Connection <br />Structure <br />Operation <br />Manure Management <br />OW 4ER/OPERATOR <br />PHONE <br />3, Spreading and Disking <br />4. Concrete Tanks <br />INSPECTION TYPE <br />h&*mc <br />PROGRAM ELEMENT <br />ILIX11512- <br />RECORD ID <br />1 PAO102(m <br />E] E] 5. Lagooning <br />0 <br />0 <br />6. Composting <br />The items below represent code violations and must be corrected: <br />Structure <br />Operation <br />Bird Disposal <br />hdip, <br />INA S13 -2wx cm <br />circ) <br />11 0 7. Burying with 2" of Cover <br />11 <br />F-1 <br />8. Approved Concrete Tank <br />\ <br />1 <br />0 <br />Yto kc� <br />9. Removal from Premises <br />Structure <br />Operation <br />Vector Control <br />11 El 10. Domestic Fly <br />11. Fannia Fly <br />El 11 12. Larvae <br />1:1 <br />0 <br />13. Pupae <br />1:1 0 14. Adult <br />1:1 <br />El <br />15. Light Population <br />11 1:1 16. Moderate Popul tion <br />0 <br />❑ <br />17. Heavy Population <br />frAl 11AA <br />wplpr� <br />CIA b r12'. Wo <br />4PA& fr- <br />Structure Operation I Feeding/Water <br />C1 <br />11 <br />18. Water Troughs <br />'-P*Wytte- <br />al� <br />Ale- <br />00-11 <br />11 El ig. CupsorBowls <br />0 <br />20. Food Storage <br />Structure Operation Houses <br />21. Floors <br />1 22. Walls/Ceilings <br />23. Cleanina Fr ueng <br />S 1'IP CA <br />0 - <br />Structure <br />Operation <br />Water W"tIil_, <br />�j <br />6)� <br />0 0 We Construction <br />0 <br />-1. <br />2. Cross Connection/ <br />Structure operation , Floors <br />11 <br />❑ <br />3. Properly rad to Sewer <br />1, j <br />- <br />11 El 4. Drain <br />❑ <br />5. Sg=�Weanable <br />U:S-f- Q� <br />SfWCAtr- <br />❑ 6. Coving/ <br />I]\ <br />7. CIg Frequency <br />Structure Operatiod\ Wal <br />1:1 <br />El <br />V,4mooth/Cleanable <br />V <br />11 11 A leaning Frequency <br />Structure <br />Operation <br />cakes <br />❑ 0 / 10. C\ndition <br />D/ <br />11. Sa ation <br />Structure Opeyffion Food N <br />❑A <br />-i <br />12. Storage <br />/ 1-1 13. InsecWe)wnin <br />Structure <br />operation <br />Animal Disptiisal <br />El 0 14. Removal from remises <br />❑ <br />15. Other <br />rntnibicd <br />re <br />Strug6re Operation Sewage Dispose <br />rftnuxtlur. <br />El <br />16. Septic System <br />E] 0 17. Sewer <br />Operbtion <br />Rabies Vaccination <br />RECEIVED BY <br />INSPECTOR <br />0 <br />11 0 1 18. Certificate on Premises <br />VECTOR CONTROL INSPECTION FORM <br />EHD 40-06 12104/08 Page of <br />