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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. 204 SOeLf .3 Z Phone(209)468-3420 <br /> PERMIT NO. 0 027 11 <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH � A SOA)& S7-;i&)4j2--7- AD k710-y XW C . e-1& 45 <br /> WATER WELL Premise Address Recheck Date <br /> -- 1. WELL CONSTRUCTION 2 38'/l S. 0-4 C 4:-' Z JG- R-4 �PO�✓ <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND DIKING *C0 012-70-3 ye-C e t weal n b <br /> tc.rt.,.0 t� <br /> -- 4, CONCRETE TANKS 7 <br /> -- 5. LAGOONING f C-fC2a- 0-0- C-Ejd 4119 I rlRwf( e,-WItr . 1419 11 - <br /> _ - 6. COMPOSTING A <br /> C�(.twa_cDr.r�r cJ4tt�e. cJ4�e-- i9'1/l •7�Q G'�[.t,t��. p <br /> BIRD DISPOSAL <br /> - - 7. BURYING WITH 2'OF COVER <br /> -- 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES d , /10 Q / fp e + <br /> w atm d"n-;g r� <br /> VECTOR CONTROL �.r �{(�Q r p�4 a r�a w� tS yQyult�e rt+•� !�`C <br /> 10. DOMESTIC FLY O,n -1 4✓27k o v p[[�na <br /> - - 11. LAFLY <br /> 12. LARVAE ,�„2.,,wa 06 a c.to a iT G0� •-(- Q T pp t.0+o a`4e-r -F✓�tr f T><�eS <br /> - - <br /> -- 13. PUPAE i5 ^-4 (.J m eLJa TC t/ Io r, `iKt tt IJGD c v'�YyaQrr <br /> -- 14. ADULT ,/n� /^� <br /> -- 15. LIGHT POPULATION is w 4�r-/-yvy�,,, 9 Cilti.lfA- . 'S <br /> -- 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION ntiG I af'i <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS <br /> 19. CUPS OR BOWLS <br /> - - 20. FOOD STORAGE <br /> HOUSES <br /> -- 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> -- 23. CLEANING FREQUENCY <br /> STR. 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 <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 <br /> -- 14. REMOVAL FROM PREMISES <br /> - - 15. OTHER <br /> SEWAGE DISPOSAL <br /> 16.,SEPTIC SYSTEM <br /> 17. SEWER ',^ <br /> RABIES VACCINATION KS .,�'. �1�({� (� <br /> -- 18. CERTIFICATE ON PREMISES SAF41TARIAN t� RECEIVED BY <br /> ® EN 07-01(690) <br />