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JOAQUIN <br />®P°"i" t, SANUNTY 40G EAT RONENTAL HEALTH DEPARTMENT <br />z, z <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />FOR <br />EHD 40-06 6/30/2005 Page ! Of <br />POULTRY RANCH <br />DBA <br />w <br />INSPEC ND TE <br />Structure <br />Operation <br />Water Well <br />❑ <br />❑ <br />1. Well Construction <br />PREMI ADDRESS <br />REINSrPECTI DATE <br />❑ <br />❑ <br />2. Cross -Connection <br />Structure <br />Operation <br />Manure Management <br />OWNERIOPERATOR <br />PHONE <br />❑ <br />❑ <br />3. Spreading and Disking <br />❑ <br />❑ <br />4. Concrete Tanks <br />IN CTION TYPE <br />PROGRAM ELEMENT <br />RECORD ID <br />❑ <br />❑ <br />5. Lagooning <br />❑ <br />❑ <br />6. Composting <br />The items belmd <br />represent code violations and must be Corrected: <br />Structure <br />Operation <br />Bird Disposal <br />❑ <br />❑ <br />7. Buryinj with 2" of Cover <br />❑ <br />8. Approved Concrete Tank <br />❑ <br />❑ <br />9. Removal from Premises <br />Structure <br />Operation <br />Vector Control <br />el I <br />❑ <br />❑ <br />10. Domestic Fl <br />❑ <br />❑ <br />11. Fannia Fl <br />❑ <br />❑ <br />12. Larvae <br />❑ <br />❑ <br />13. Pupae <br />❑ <br />❑ <br />14. Adult <br />❑ <br />❑ <br />15. Light Population <br />❑D <br />16. Moderate Population <br />❑ <br />❑ <br />17. Heavy Population <br />Structure <br />Operation <br />Feeding/Water <br />❑ <br />❑ <br />18. Water Troughs <br />❑ <br />❑ <br />19. Cu s or Bowls <br />❑ <br />El <br />20. Food Storage <br />Structure <br />Operation <br />Houses <br />❑ <br />❑ <br />21. Floors <br />❑ <br />I ❑ <br />1 22. Walls/Ceilings <br />❑ <br />❑ <br />1 23. Cleaning Fre uenc <br />KENNEL <br />Structure <br />Operation <br />Water Well <br />❑ <br />❑ <br />1. Well Construction <br />❑ <br />❑ <br />2. Cross Connection <br />Structure <br />Operation <br />Floors <br />❑ <br />❑ <br />3. Properly Graded to <br />❑ <br />❑ <br />4. Drain <br />❑ <br />❑ <br />5. Smooth/Cleanable <br />❑ <br />❑ <br />6. Covin <br />❑ <br />7. Cleaning Frequency <br />Structure <br />Operation <br />Walls <br />❑ <br />13 <br />8. Smooth/Cleanable <br />❑ <br />❑ <br />9. Cleaning Frequency_ <br />Structure <br />Operation <br />Cages <br />0 <br />El <br />10. Condition <br />❑ <br />❑ <br />11. Sanitation <br />Structure <br />Operation <br />Food <br />❑ <br />12. Storage <br />❑ <br />❑ <br />13. Insect/Vermin <br />Structure <br />Operation <br />Animal Disposal <br />❑ <br />❑ <br />14. Removal from Premises <br />11 <br />❑ <br />15. Other <br />Structure <br />Operation <br />Sewage Disposal <br />Cl <br />❑ <br />16. Septic S stem <br />❑ <br />❑ <br />17. Sewer <br />Structure <br />Operation <br />Rabies Vaccination <br />RECEIVE <br />I <br />❑ <br />❑ <br />18. Certificate on Premises <br />EHD 40-06 6/30/2005 Page ! Of <br />