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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. <br /> TF-6A�I D Phone(209)468.3420 <br /> -' <br /> PERMIT NO. � ` U0 Co <br /> STR. OPER. DBA I Inst t on Date <br /> POULTRY RANCH i 5 ��I�tC,I�� " 3 O <br /> WATER WELL Premise Address Recheck Date <br /> -- 1. WELL CONSTRUCTION ® <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -_ 3. SPREADING AND DICCING <br /> 4. CONCRETE TANKS <br /> 5. LAGOONING <br /> 6. COMPOSTING ! <br /> BIRD DISPOSAL <br /> 7. BURYING WITH 2'OF COVER Jr,L�rh"^y' 1-24uj&" <br /> J , <br /> 1-C <br /> _- 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES r <br /> VECTOR CO ROL <br /> 10. DOMESTIC FLY <br /> -- 11. FANNIA FLY �Qj <br /> -� I/ Vi. 0 -9h <br /> - 12. LARVAE <br /> -- 13. PUPAE <br /> _ ADULT <br /> 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION 21W ✓\J l <br /> FEEDING/WATER ® f I E <br /> 18. WATER TROUGHS VJ <br /> _- 19. CUPS OR BOWLS <br /> - _ 20. FOOD STORAGE <br /> HOUSES <br /> -- 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> - _ 23. CLEANING FREQUENCY <br /> STA. OPER. <br /> KENNEL <br /> WATER WELL <br /> -_ 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS <br /> - - 3. PROPERLY GRADED TO SEWER <br /> -- 4. DRAIN <br /> -_ 5. SMOOTH/CLEANABLE 0 <br /> - - 6. COVING <br /> -- 7. CLEANING FREQUENCY <br /> WALLS <br /> - - 8. SMOOTH/CLEANABLE <br /> 9. CLEANING FREQUENCY <br /> CAGES <br /> - _ 10. CONDITION <br /> -_ 11. SANITATION <br /> FOOD <br /> 12. STORAGE <br /> -_ 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL N <br /> -- 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEWAGE DISPOSAL <br /> _ 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES SANITARI _ RECEIVED BY <br /> ® EH 07-01(sco) <br />