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1 <br /> 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 Inspechon Date <br /> POULTRY RANCH 1Z <br /> WATER WELL Premse Address Recheck Date <br /> - - 1. WELL CONSTRUCTION <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> - - 3. SPREADING AND DICCING <br /> - 4. CONCRETE TANKS <br /> -_ 5. LAGOONING <br /> - - 6. COMPOSTING <br /> BIRD DISPOSAL <br /> _ - 7. BURYING WITH 2'OF COVER <br /> 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES <br /> VECTOR XT <br /> 10. DOMESTIC FLY <br /> - 11. FANNIA FLY <br /> 12. LARVAE <br /> 13. PUPAE _ <br /> 14. ADULT T -y <br /> - - 15. LIGHT POPULATION <br /> /16. MODERATE POPULATION -�� <br /> - <br /> f17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS <br /> _ - 19. CUPS OR BOWLS <br /> - - 20. FOOD STORAGE <br /> HOUSES <br /> - - 21. FLOORS <br /> -_ 22. WALLS/CEILINGS <br /> - _ 23. CLEANING FREQUENCY <br /> STR. OPER. M /Y�/Y.C.dC� . �" //z✓ �: .C� ?'Yrao P -vrrYlf <br /> KENNEL - <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION <br /> - 2. CROSS CONNECTION C <br /> FLOORS ' <br /> - - 3. PROPERLY GRADED TO SEWER <br /> - - 4. DRAIN <br /> -_ 5. SMOOTH/CLEANABLE <br /> - - 6. COVING <br /> - - 7. CLEANING FREQUENCY <br /> WALLS <br /> 8. SMOOTH/CLEANABLE <br /> - - 9_ CLEANING FREQUENCY <br /> CAGES <br /> - _ 10. CONDITION <br /> - 11. SANITATION <br /> FOOD G1t�1Y�d97TPisf �ZYY]v/��r� /G iU G�it�� <br /> - 12. STORAGE <br /> -- 13. INSECT/VERMIN iy,��0irr✓)� /� 1" �G.•'72y}� /Tlfi"✓�!/_?9 /1ii//l�/7� <br /> ANIMAL DISPOSAL <br /> -- 14. REMOVAL FROM PREMISES <br /> - _ 15. OTHER <br /> SEWAGE DISPOSAL <br /> - - 16.,SEPTIC SYSTEM ZZ <br /> 17. SEWER <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES <br /> iron ental Health ecialist eceived By <br /> ® EH 07-01(6.90) <br />