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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMET <br />:< <br />304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.org/ehd <br />C6, <br />VECTOR CONTROL INSPECTION FORM <br />POULTRY RANCH DBA L. -e- INSPECTION DATE <br />--j-(A <br />Structure Operation Water Well T-5 I I�EZ <br />0 El 1. Well Construction PREMISE ADDRESS RFINqpr ION DATV <br />El 0 2. Cross -Connection itsis a F7r,,,-j, Z An ,A4 ) it, ai2 <br />Structure Operation Manure Management 0WAENOPERATOR NHOhE <br />E] E] 3. Spreading and Disking )Zoja,_� <br />0 0 4. Concrete Tanks INSPECTION TYPE PROGRAM ELEMENT RECORD ID <br />0 ❑ 5. Lagooning <br />0 E] 6. Composting The items below represent code violations and must be corrected: <br />Structure Operation Bird Disposal <br />0 0 7. Bu in with 2" of Cover <br />0 El 8. Approved Concrete Tank <br />El 0 9. Removal from Premises <br />Structure Operation Vector Control <br />[1 El 10. Domestic Fly <br />El El 11. Fannia Fly <br />El El 12. Larvae <br />13. Plupac <br />14. Adult 6�� flez rX, 5rv-.- t -i 641j -,I <br />El 0 15. Light Population <br />El 0 16. Moderate Population <br />El 1:1 17. Heavy Population -7\ <br />Structure Operation Feeding/Water 1 1, raslle, f <br />13 El 18. Water Troughs <br />11 0 19. Cups or Bowls U 54�'_ <br />0 0 20. Food Storage <br />Structure Operation Houses Q fa6. <br />El D 21. Floors <br />22. Walls/Ceiling <br />U I <br />U 1 2j. (-,ieaning rrEquenc <br />KENNEL <br />1%A <br />j <br />Structure <br />Operation <br />0 <br />El <br />operation <br />Water Well <br />1. Well Construction <br />2. Cross Connectio <br />Floors <br />994 <br />12 <br />C;t2 <br />4-z> 74,41 <br />4- CL <br />-41 <br />El <br />El <br />Struxture <br />❑ <br />11 <br />_T -Properly Grad ep to <br />4. Drain <br />t + <br />❑El <br />0 <br />0 <br />\Cl <br />5. Smooth/ClegCable <br />6. Coving / <br />El <br />El <br />a <br />operad <br />7. Cleaning Irequency <br />Walls <br />Structure <br />8. Smoot Cleanable <br />Clearing Frequency <br />A! <br />Structure <br />Operation <br />(Nges I <br />10. Vndition <br />J I <br />14 <br />El1:1 <br />0 <br />El <br />Operation <br />11. J%itation <br />Faid \ <br />Structure <br />El <br />0 <br />El <br />If Stora <br />3. Insec rmin <br />A <br />11 <br />Structure <br />Operation <br />D <br />Animal Disp';l <br />14. Removal fro (i Premises <br />n <br />57c) <br />0 <br />El <br />0 / <br />open gG <br />15. Other <br />Sewage Disposal <br />I <br />d I- <br />LJ1 )1_1 <br />Structure <br />11 <br />[1 <br />16. Septic System <br />17. Sewer <br />EL <br />Stor <br />ion <br />El <br />L <br />Rabies Vaccination <br />_18. Certificate oELM4 <br />=RECEI <br />INSPEC <br />11 <br />EHD 40-06 6/30/2005 Fage j ot I <br />