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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> CONTROLVECTOR INSPECTION FORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspect. Date <br /> POULTRY RAN < S` _ <br /> WATER WELL Premise Address R tL-cjVDat46 <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MAHM NT <br /> 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS <br /> 5. LAG <br /> 6. COMPOSTING <br /> BIRD DISPOSAL <br /> - - 7. IN WITH <br /> 2'OF COVERRTANKr 7- <br /> 8. APPROVEDL <br /> CONCRETE ETE <br /> ®_ 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> 10. DOMESTIC FLY <br /> 11. FANNIA FLY 0y <br /> _ 12. LARVAE <br /> _ 13. PUPAE <br /> _ 14. ADULT <br /> 15. LIGHT POPULATION <br /> 16. MODERATE POPULATION <br /> 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> _ e 18. WATER TROUGHS <br /> ® 19. CUPS OR BOWLS <br /> _ 20. FOOD STORAGE - <br /> HOUSES ut <br /> _ 21. FLOORS <br /> 22. WALLS/CEILINGS 4444 <br /> _e 23. CLEANING FREQUENCY <br /> STR. OPEN. *? -44 <br /> KENNEL p ® yam <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS d <br /> _ 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> 6. COVING s <. <br /> 7. CLEANING FREQUENCY <br /> WALLS Y <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 d 6 1 r <br /> ANIMAL DISPOSAL S / <br /> 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> /d b. <br /> SEWAGE DISPOSAL <br /> 16.,SEPTIC SYSTEM !10 . ® d S <br /> - _ 17. SEWER <br /> RAINES VACCINATION <br /> 18. CERTIFICATE ON PREMISES <br /> Environmental Health Spec alist Received By <br /> 0 EH 07-01 16901 <br />