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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. Phone(209)468-3420 <br /> PERMIT NO. <br /> DBA inspection Dale <br /> STR. OPER. -T- �� <br /> POULTRY RANCH �/rr &4 `S7U41e,1 `3 /4 <br /> /99 <br /> WATER WELL Premise Address Recheck Date <br /> - - 1. WELL CONSTRUCTION 2 3 e// S• J'-14.Lr^ 7v^)E A" <br /> - - 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> - _ 3. SPREADING AND DI9CING <br /> -_ 4. CONCRETE TANKS <br /> _ - 5. LAGOONING /'/^�T'E'L ne-r Q to-!I f!�-x ��� ctJ�� �✓�fPP w TK Q h ��j �0� <br /> _- 6. COMPOSTING <br /> BIRD DISPOSAL <br /> - - 7. BURYING WITH 2'OF COVER Q h 611 y!✓IPLt ra6drdIa I Ay 4 H-1_ tele GfD <br /> - - 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL ! y �Q <br /> -- 10. DOMESTIC FLY C t! <br /> 11. FANNIA FLY n of r8tr.✓KtL�,.'�at/ /Tea �` tt�✓ul/L t 4 tit>� 4��,it e <br /> - - 12. LARVAE t <br /> _ - 13. PUPAE Gt SSoG[ati<Ced .Ga�✓.•1A f f <br /> -- 14. ADULT <br /> - - 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS .t��t�-�•i•• fGtltiie� <br /> - 19. CUPS OR BOWLS t!•Q�� • w S Oe.0 4v Q TW e- c lw•^Y <br /> - - 20. FOOD STORAGE // � Q. e v <br /> HOUSES 7"a-k 4 4 S�Qyi�l -_�L coel"v & 4& S-';4t /a <br /> _ /ta <br /> - 21. FLOORS ��/ A ftit7W <br /> -- 22. WALLS/CEILINGS T( g, �t.l dC �Gi Gt .fit i�1'HQvS!1'rllG� -1.0 'Mow <br /> _ - 23. CLEANING FREQUENCY � _ - w y/-.-Ici Q�-l- 7��J 0-.VL 7 iYC etc it <br /> STR. OPER. .%� c� f�ItiE S ✓KE. t�C!l0!- 4trD y-.0' <br /> KENNEL <br /> WAT R WELL �cCt,G rS -GYT�rC.L�}'L.ti' a..Ae "1e•%^r <br /> 1. WELL CONSTRU ION / � / ` �t <br /> 2. CROSS CONNEC ION Tf"a3 a &. i 1 Gal^ !'Lfs i Q ka.�[4'� 'TU ✓`Q�+�1 f9�� !:c <br /> FLOOR <br /> 3. PROPERLY ADED TO SEWER <br /> -- 4. DRAIN <br /> 5. SMOOTH/ EANABLE <br /> COVING <br /> -- CLEANI G FREQUENCY <br /> WALLS <br /> -- 8. H/CLEANABLE <br /> - - 9. C NING FREQUENCY <br /> CAGES <br /> - - 30. ON ITION <br /> -- 11. SANI TION <br /> FOOD <br /> . STORAG <br /> -- 3. INSECT RMIN <br /> ANIMAL ISPOSAL <br /> 14. REMOVAL F OM PREMISES <br /> 15. OTHER <br /> SEW GE DISPOSAL <br /> 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> RIES VACCINATION r• �� <br /> -- 18. CERTIFICATE ON PREMISES SANITARIAN /_p- ©3 41 RJEI EDBY <br /> ® Ell 07-01(6Y0) QRS <br />