Laserfiche WebLink
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 /> STR. OPER. DBA inspection Date <br /> POULTRY RANCH K �r 5 <br /> WATER WELL Premise Address Recheck Date <br /> - 1. WELL CONSTRUCTION ® 13 <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND DIKING <br /> - 4. CONCRETE TANKS <br /> -- <br /> S. LAGOONING <br /> _ - 6. COMPOSTING <br /> BIRD DISPOSAL &L L ��` L <br /> -- 7. BURYING WITH 2'OF COVER <br /> - 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> - - 10. DOMESTIC FLY ,f/ <br /> - - 11. FANNIA FLY I90 'vy, LSL'� �� - �IIQ QUO` 11/ILtYIIArp <br /> -- 12. LARVAE 91 �� <br /> 13. PUPAE <br /> -- 14. ADULT <br /> -- 15. LIGHT POPULATION <br /> - - 16. MODERATE POPULATION <br /> - - 17. HEAVY POPULATION <br /> FEEDING/WATER v ' <br /> - 18. WATER TROUGHS I <br /> 19. CUPS OR BOWLS <br /> - - 20. F000 STORAGE U avap <br /> HOUSES <br /> _- 21. FLOORS <br /> -_ 22. WALLS/CEILINGS <br /> -- 23. CLEANING FREQUENCY <br /> S?R. OPER. (!� K.P E'l7 C6✓►Lu'e � Gf d L� �G IA _ >� . _ <br /> KENNEL <br /> WATER WELL <br /> _= 1. WELL CONSTRUCTION _f <br /> 2. CROSS CONNECTION a( i '' t ,1 �� <br /> FLOORS 3. PROPERLY GRADED TO SEWER <br /> -- 4. DRAIN <br /> -_ S. SMOOTH/CLEANABLE <br /> - - 6. COVING <br /> 7. CLEANING FREQUENCY tr �j <br /> WALLS UGl l s f+^, I )47. <br /> _- 8. SMOOTH/CLEANABLE <br /> -- 9. CLEANING FREQUENCY <br /> CAGES Ail <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 SANITA tAN IVED lyy <br /> ® EH 07-01(190) <br />