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SAN JOAOUIN 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. �/Q �'3 / Phone(209)468-3420 <br /> PERMIT NO. 000714 <br /> STR. OPER DBA Inspectioate <br /> POULTRY RANCH , k- <br /> f O. 'E^J I)r-77-1 T7-/ 1�= G- ��-Z23 /c,/` ­­­.:Z7/`F?' <br /> WATER WELL Premise Address Recheck Date <br /> - - 1. WELL CONSTRUCTION 2 0 /37 E . P-t E L4-0 /"r PD <br /> 2. CROSS-CONNECTION <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> -ZSS C <br /> SPREADING AND D19CING <br /> CONCRETE TANKS <br /> -- 5. LAGOONING cA&,c w C/►�G�u G140( /r. rpt i;Dliln-SC r!o1�fJ/G/n � <br /> _ - 6. COMPOSTING It N/ <br /> BIRD DISPOSAL co w$O F64 k eyk"_ pQj&zn< (/•e� Lad <br /> - - 7. BURYING WITH 2'OF COVER <br /> 8. APPROVED CONCRETE TANK 7- , <br /> 9. REMOVAL FROM PREMISES � 0�!e 1,� /S Ifq 1,O� ��-G nP /S R ti -e XC eS S'V--t <br /> VECTOR CONTROL / <br /> 10. DOMESTIC FLY a' r"- �T G d u ki,C,Ge, -a'ck <br /> 11. FANNIA FLY /� QreCtS /vLGt'kG�/� ��LC�CS h.GQ v �w-C Qd <br /> - - 12. LARVAE <br /> 3. PUPAE b/ r b/ Q^-0/ ^/4 <br /> GJ <br /> 'Nt-( G.1 G.$/11l4. ADULT <br /> 15. LIGHT POPULATION <br /> _� MODERATE POPULATION <br /> ,/ 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> 18. WATER TROUGHS l "' V-KP/ +C <br /> _ - 19. CUPS OR BOWLS <br /> rati w/`fC /.�,Ce c7/tcioLE Gl,D.o� yD/aC�m�,,'f <br /> 20. FOOD STORAGE <br /> • <br /> HOUSES D I ✓G�.S T / l/� 7 IIn C(a�f'OI /Z a�L �/�S <br /> 21. FLOORS /+ <br /> -- 22. WALLS/CEILINGS !0!:, O✓D0 T ('Oy-e-- Q l� cq l�,O$ �O✓✓L°c"� f- w�L�c 4*4-c <br /> - - 23. CLEANING FREQUENCY Z 75 <br /> � nI 4-oQ`/ Q✓ s <br /> STR. OPER. <br /> KENNEL /�2�) /� L / <br /> WATER WELL l✓/ / , �f k Q_ - ✓V�.Q c"Y Q f t'- C A 1 c-[..2 tel. seS <br /> 1. WELL CONSTRUCTION ,L 1 <br /> 2. CROSS CONNECTION p ✓11.4 A-1 C4✓`e !�yltscS Q re trG�Ct"F7 t✓a.(c, a feQ H <br /> FLOORS l`Tl H,&,L Lk P L �/� t?1Q2-vt t ✓YS C d t cue p� .6 <br /> - - PROPERLY GRADED TO WER _ /� <br /> 4. DRAIN PNtwJ e-D at! /•r -t-of Q iti 4 i1 D/�t�� C®I/1e-v C_4t-'.x tY4g-y <br /> -_ 5. MOOTH/CLEANABLE v <br /> -- 7. CL NTNG FREQU CY <br /> WALLS �/^ ✓t 6 GO `l O `''� 1 /. <br /> _ - 8. SMOO /CLEA ABLE eLC✓,Lr. l/.I wwd cCo�t na� �Ot�G� T��Q QwT>K. <br /> 9. CLEAN[ F QUENCY <br /> CAGES <br /> - - 10. CONOITI <br /> Il. SANITA ION / <br /> FOOD �-C-r"dG e-jc L U✓� Or, a-Ne-✓ <br /> 12. ST AGE <br /> 13. IN CTNERMIN <br /> ANIMAL DISPO AL <br /> 14 REMOVAL FROM PREMI S <br /> . OTHER - <br /> M 4�•1.�.-�_ GL r S C2� /•ti.� 7�/C�CIS � ri(.rC:Q�.s a S<O <br /> SEWAGE SPOSAL <br /> 16. SEPTIC SYSTEM <br /> 17• SEWER <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES ` �-CC�-�.• <br /> Environmental Healtb Specialist eceived y <br /> tD EH 07-01(690) 03�! <br />