Laserfiche WebLink
o <br /> SAN JOAQUIN COUNTY <br /> ,-A ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> ' Telephone.(209)468-3420 Fax.(209)464-0138 Web:www.sjgov.org/ehd <br /> VECTOR CONTROL INSPECTION FORM <br /> POULTRY RANCH DBA t INSPECTIIOON DATE <br /> Structure Operation Water Well - ( 1 A,. <br /> ❑ ❑ 1. Well Construction PREMISE ADDRESS f REINSPtCTION DATOF <br /> ❑ ❑ 2. Cross-Connection 1 <br /> Structure Operation Manure Management OWNER/OPERATOR PHONE <br /> ❑ 3. Spreading and Disking v y, <br /> ❑ 4. Concrete Tanks INSPECTION TYPE PROGRAM ELEMENT RECORD ID 7395 <br /> ❑ ❑ 5. Lagooning ,0 +j1 f 45 <br /> ❑ ❑ 6. Composting The items below represent code violations and must be corrected: <br /> Structure Operation Bird Disposal <br /> ❑ ❑ 7. Buryingwith 2"of Cover <br /> ❑ ❑ 8. Approved Concrete Tank <br /> ❑ ❑ 9. Removal from Premises tJES <br /> Structure Operation Vector Control <br /> ❑ 0 10. Domestic Fly <br /> ❑ ❑ 11. Fannia FI <br /> ❑ ❑ 12. Larvae <br /> ❑ ❑ 13. Pupae <br /> ❑ ❑ 14. Adult Le, 4--/ iAft <br /> t✓ <br /> ❑ 0 15. Light Po elation g <br /> ❑ ❑ 16. Moderate Population v LO <br /> ❑ ❑ 17. Heavy Po ulation <br /> Structure Operation Feeding/Water <br /> 11 El18. Water Troughs ej <br /> ❑ ❑ 19. Cups or Bowls <br /> ❑ ❑ 20. Food Storage <br /> B <br /> Structure Operation Houses Las ®ra <br /> ❑ ❑ 1 21. Floors L I ® P 6- <br /> 0 <br /> ❑ ❑ 22. Walls/Ceilings <br /> ❑ ❑ 23. Cleanin Fre uenc <br /> KENNEL <br /> struEture Operation Water Well <br /> El 1. Well Construction <br /> 11 0 2. Cross Connectio <br /> S <br /> tructure Operation Floors <br /> ❑ ❑ 3. Properly G led to <br /> ❑ ❑ 4. Drain <br /> ❑ 5. Smoo Cleanable <br /> 6. Co <br /> ❑ 7. anin Frequency <br /> Structure Operation W is <br /> ❑ ❑ Smooth/Cleanable <br /> ❑ 9. leaning Frequency <br /> Structure Operation Cage <br /> ❑ 10. Co ition <br /> ❑ 11. Sani tion <br /> Structure O ration Food <br /> ❑ ❑ 12. Storage <br /> ❑ El 13. Insect/Ve in <br /> Structure operation Animal Dispose <br /> ❑ El 14. Removal from remises <br /> ❑ 15. Other <br /> Street a Operation Sewage Disposal <br /> ❑ El 16. Septic System <br /> ❑ ❑ 17. Sewer <br /> Structure Operation Rabies Vaccination RECEIVED BY INSPECTO <br /> El ❑ 1 18. Certificate on Premises <br /> EHD 40-06 6/30/2005 Page of <br />