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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 /> L <br /> COMPUTER NO. AA ` 0003 1 Phone(209)468-3420 <br /> PERMIT NO. <br /> DBA Inspection D e <br /> STR. OPER. c� <br /> POULTRY RANCH /f,,�( ��•�/ �s- � � 9/ <br /> WATER WELL 4" Premise Address 1 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 DI9CING 42 a6r.,4S7o5 c-%Z o^,j /,..!i A-( Fs-r-E <br /> -- 4. CONCRETE TANKS <br /> -- 5. LAGOONING <br /> - - 6. COMPOSTING <br /> BIRD DISPOSAL L i1.SA-E�7�t e., Cr��4 CLP/c/ �A✓`P�C�Jn. g <br /> - - 7. BURYING WITH 2'OF COVER o1sP ✓✓2d dw �Ctof Ztr�s ��eCf �!✓tCS 6e�.- <br /> -- 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES C'O V e vE d 4r�d ✓GJ1.t_'7L7.�2-�u �Q tc O� uJ Q N - SGS <br /> VECTOR CONTROL / <br /> - - 10. DOMESTIC FLY /^ �� r �o're - r'o ve �d �f u !o a 7� 4-e.r�_ <br /> - - 11. FANNIA FLY ,t <br /> -- 12. LARVAE S.Dn _ 4 y�Ct d ThQ !rQ� rrf iat[S <br /> -- 13. PUPAE <br /> -- 14. ADULT / <br /> 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION <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 <br /> 18. CERTIFICATE ON PREMISES SANITARIAN4.4& R EIVEO BY <br /> -p35E� <br /> ® EH 07-01(8.90) <br />