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SAN JOAOUIN COUNT," <br /> PUBLIC HEALTH SERVIC <br /> ERF <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009,STOCKTON, CA 95242 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTERNO. Rvne W9) <br /> 468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA inspection Date <br /> POULTRY RANCH <br /> WATER WELL Premise Address Recheck Date <br /> _- 1. WELL CONSTRUCTION <br /> CI I- <br /> 2. CROSS-CONNECTION • '`� <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> __ 3. SPREADING AND D19CCING <br /> _ <br /> -,,,-4. CONCRETE TANKS <br /> 5. LAGOONING <br /> _ 6. COMPOSTING <br /> BIRD DISPOSAL' <br /> 7. BURYING WITH 2°OF COVER <br /> -_ <br /> S. APPROVED CONCRETE TANK <br /> _ 9. REMOVAL FROM PREMISES <br /> VECTOR NTROL <br /> _- 0. DOMESTIC FLY <br /> - 11. FANNIA FLY <br /> 12. LARVAE <br /> 3. PUPAE <br /> 14. ADULT <br /> . LIGHT POPULATION <br /> 16. MODERATE POPULATION <br /> 17. HEAVY LATION <br /> FEEDING/WATE <br /> -- <br /> 18..WATER TROUGHS <br /> _- 19. CUPS OR BOWLS <br /> ® 20. FOOD STORAGE <br /> `HOUSES <br /> 21. FLOORS <br /> 22. WALLS/CEILINGS OK ' <br /> 23. CLEANING FREQUENCY <br /> KENNEL,/ <br /> WA WELL <br /> - 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> S. SMOOTH/CLEANABLE r <br /> 6. COVING L <br /> - <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 VACCINATIONm <br /> -- 18. CERTIFICATE ON PREMISES SANNARIAN N RECEIVED BY <br /> 0 EH 07.01 <br />