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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 /> ERMIT NO. <br /> 1 STR. OPER. DBA �! Inspection Date <br /> POULTRY RANCH ✓'"1/0 <br /> WATER WELL Premise Address Recheck Date <br /> _ 1. WELL CONSTRUCTION C;?01•/�j7 Z, <br /> 2. CROSS-CONNECTION <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> --yam 3. SPREADING AND D19CING <br /> CONCRETE TANKS C,"'tGram <br /> 5. LAGOONING <br /> -- 6. COMPOSTING <br /> BIRD DISPOSAL <br /> _- 7. BURYING WITH 2'OF COVER <br /> _- 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES �� n� /n <br /> VECTOR CJ3NTROL <br /> � p DOMESTIC FLY <br /> 11FANNIA FLY <br /> _- 12. LARVAE <br /> PUPAE <br /> 14. ADULT <br /> 1f1-!f"5. LIGHT POPULATION"' -V <br /> l-G/16. MODERATE POPULATIvrVwJ-O, G <br /> -_ 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS / ) ` ,( <br /> 19. CUPS OR BOWLS Tyr `o-zen® / f lll'//" X,- nC LyD4� r s'/ CYO C31� <br /> 20. FOOD STORAGE <br /> HOUSES // /a�L•� i�if -s Gln_ Uri 7 c� .�._ !� <br /> `"21. FLOORS/5 Y -V/�� 1CP�GY- <br /> -- 22. WALLS/CEILINGS C.t;-1 Cf6<JY, �iy /'S cz-o ='l <br /> -- 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL - <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION �ii^ <br /> FLOORS <br /> - - 3. PROPERLY GRADED TO SEWER <br /> -- 4. DRAIN <br /> -- 5. SMOOTH/CLEANABLE <br /> - - 6. COVING/ / <br /> -- 7. CLEANING FREQUENCY <br /> WALLS / n <br /> - - 8. SMOOTH/CLEANABLE rPrrviti�. G2J' C� G/J//Y��O <br /> -- 9. CLEANING FREQUENCY / <br /> CAGES <br /> - - 10. CONDITION <br /> -- 11. SANITATION <br /> FOOD <br /> - _ 12. STORAGE <br /> -- 13. INSECT/VERMIN I �� <br /> ANIMAL DISPOSAL <br /> - - 14. REMOVAL FROM PREMISES <br /> - - 15. OTHER <br /> SEWAGE DISPOSAL <br /> - - 16.,SEPTIC SYSTEM <br /> - - 17. SEWER <br /> G <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES gNITARIAN ED BY <br /> ® EH 07-01(8-00) <br />