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R""t" <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Ur <br /> X <br /> Y. 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone:(209)468-3420 Fax. <br /> (209)464-0138 Web:www.sjgov.org/ehd <br /> ORS <br /> VECTOR CONTROL INSPECTION FORM <br /> DBA INSP7TION DATE <br /> ure Ope <br /> Structure Waler ftil 7 '--!?�/j <br /> 0 0 1. well construction PREMISE ADDRESS RE-(NSPECTfON DATE <br /> 0 El 2. Cross-connection <br /> 3 Ydy F . <br /> Structure Operation Manure Manageme t OWNE OPERATOR PHONE <br /> F-1 0 1 3. Spreading and Dis)(Ing 'Dw <br /> �'�e 157) -'r-.2 <br /> 1:1 El 4. concrete Tanks INSPECTIO NWYPE <br /> PROGRAM ELEMENT RECORDID <br /> 5. Lagooning 444'6 <br /> 6. Composting The items below represent code violations and must be corrected: <br /> Structure Operation Bird Disposill <br /> 1:3 13 7. Bu in h 2"of Cover <br /> 1:1 11 8. Approvold!Concrete Tank V <br /> 11 11 9. Rem al from Premises 64 <br /> Structure Operation vecto/control V <br /> 13 11 10. mestic Fly <br /> El114Fannia Fly <br /> -7 <br /> 1:1 El 1-i Larvae 6. <br /> 1:1 El 43. Pupae <br /> El 0 '14. Adult <br /> El E] / 15. Light Population <br /> El 16. Moderate Population <br /> 1:1 17. Heavy Population <br /> Structure 00aration FeedinglWater <br /> 13 El 18. Water Troughs "r 0-�-r <br /> 11 El 19. Cups or Bowls <br /> El 20. Food Storage <br /> Struct Operation Houses <br /> 11 21. Floors 2-7 C2- <br /> El 22. Walls/Ceilings <br /> 1:1 El 23. Cleanini Fre5uenu <br /> Structure Operation <br /> 11 ❑ 1. Well Construction- <br /> El 2._Qjj�@s Connection <br /> Structure Operation -ftcgjW <br /> Properly Graded to Sewer <br /> 1:1 ❑ �-4. Drain <br /> El 11 5. Smooth/Cleanable <br /> E] E] 6. Coving <br /> El n 7. Cleaning Frequency <br /> Structure Operation(fjWII <br /> El El v3V8 Smooth/Cleanable <br /> 1:3 11 9. Cleaning Frequency <br /> Structure Operation C It <br /> I z Kgri <br /> 11 El A)K10. Condition <br /> El itation <br /> Structure Operation< Fq pd <br /> 13 El -& 1-2. storage <br /> 13. insect/Vermin <br /> Structure Operation Animal Disposal <br /> El 1:1 14. Removal from Premises <br /> 1:1 0 15. Other <br /> Structure Operation Sewage Disposal <br /> 1:1 11 f <br /> !I&�'1 Septic System <br /> 1:1 El 17. SeVgj_ <br /> Structure_ Operation �Jabies vaccina 10 RE EIY D Y INSPECTOR <br /> 13 El(X"--Ce­rtrca7,-o-n-;rr-emi,1s o�7 <br /> VECTOR CONTROL INSPECTION FORM <br /> EHD 40-06 4/6/12 NZ Page j of <br />