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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. J C 0 C, Z 'c <br /> STR. OPER. DBA v Inspec to <br /> POULTRY RANCH �1� 4 Fill <br /> WATER WELL Premix Address R k Date J <br /> -- 1. WELL CONSTRUCTION '01q �✓ [ /� s <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND DWCING n �J <br /> _= 4. CONCRETE TANKS <br /> 5. L/1GOONING <br /> -- 6. COMPOSTING ` <br /> BIRD DISPOSAL n <br /> - - 7. BURYING WITH 2'OF COVER <br /> -- 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> -- 10. DOMESTIC FLY <br /> - - 11. FANNIA FLY 2 ! <br /> 12. LARVAE <br /> -- 13. PUPAE <br /> -- 14. ADULT <br /> -- 15. LIGHT POPULATION <br /> - - 16. MODERATE POPULATION _ _If <br /> -- 17. HEAVY POPULATIONS^yam <br /> FEEDING/WATER <br /> -- 18. WATER TROUGHS <br /> -- 19. CUPS OR BOWLS <br /> 20. FOOD STORAGE 2 / <br /> HOUSES 4V0 <br /> - - 21. FLOORS - <br /> -- 22. WALLS/CEILINGS <br /> - - 23. CLEANING FREQUENCY <br /> STH. OPER. <br /> KENNEL <br /> WATER WELLc- <br /> -- 1. WELL CONSTRUCTION - <br /> - - 2. CROSS CONNECTION <br /> d <br /> FLOORS <br /> -- 3. PROPERLY GRADED TO SEWER <br /> - - 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> -- 6. COVING �� e/�' /r, <br /> -- 7. CLEANING FREQUENCY _ <br /> WALLS <br /> -_ 8. SMOOTH/CLEANABLE <br /> - - 9. CLEANING FREQUENCY <br /> CAGES <br /> - - 10. CONDITION l` <br /> -- 11. SANITATION b �U � -�+ �,�� C <br /> FOOD > �a <br /> - _ 12. STORAGE <br /> -- 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> i <br /> SEWAGE DISPOSAL <br /> -_ 16.,SEPTIC SYSTEM <br /> - 17. SEWER U <br /> RABIES VACCINATM A A 1 M LC /�`A001 Nab 6 <br /> -- 18. CERTIFICATE ON PREMISES TANITARIAN RECEIVED BY <br /> M EM 07-01(600) <br />