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f 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. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA// Inspect Date <br /> POULTRY RANCH &erV-0u% 7 <br /> WATER WELL Premise Address Recheck Date <br /> - _ 1. WELL CONSTRUCTION 'it)1 S W ACv- <br /> 2. CROSS-CONNECTION <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT &DE VIOLATIONS AND MUST BE CORRECTED: <br /> - - 3. SPREADING AND DIKING <br /> - - 4. CONCRETE TANKS-a <br /> -- 5. LAGOONING <br /> _ - 6. COMPOSTING <br /> BIRD DISPOSAL �te r <br /> - - 7. BURYING WITH 2'OF COVER <br /> -_ 8. APPROVED CONCRETE TANK <br /> _- 9. REMOVAL FROM PREMISES-OIC, ``-- � I VA <br /> VECTOR CONTROL Le�Lre� brlrrel3 - <br /> -- 10. DOMESTIC FLY <br /> 11. FANNIA FLY <br /> - _ 12. LARVAE <br /> -- 13. PUPAE <br /> -_kf-14. ADULT <br /> -1-15. LIGHT POPULATION�VPIu llQ�� ja1 1 (1 e-` <br /> -- 16. MODERATE POPULATION 'S / <br /> -- 17. HEAVY POPULATION 1 vo,P, 141tU !!� 7 <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS <br /> _ - 19. CUPS OR BOWLS <br /> 20. FOOD STORAGE <br /> HOUSES <br /> -_ 21. FLOORS VV <br /> -_ 22. WALLS/CEILINGS vl L G <br /> - - 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KEN EL <br /> WATE WELL rCj!`S L-(. <br /> 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS <br /> PROPERLY GRADED SEWER <br /> 4. DRAIN <br /> 5. TH/C LEAN LE <br /> 6. C ING <br /> 7. CL NING F QUENCY <br /> WALLS <br /> _ 8. SMOOT / LEANABLE <br /> -_ 9. CLEAN FREQUENCY <br /> CAGES <br /> - - 10. CO (TION <br /> 11. SA ITATION <br /> FOOD <br /> 12. TORAGE <br /> - _ 13. INSECT/VERMIN <br /> ANIMAL DIS OSAL <br /> . REMOVAL FROM PREMISES <br /> _ 5. OTHER <br /> SEWAGE ISPOSAL <br /> 16. SEPTIC SYSTEM <br /> _ 17. SEWER <br /> t <br /> RABIES VACCINATION <br /> -_ 18. CERTIFICATE ON PREMISES SANITARIAN RECEI BYE <br /> EM o>•-01(8-90) <br />