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U SAN JOA IN COUNTY <br />EN v LttONMENTAL HEALTH DEPARTME. ,cr <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />'9�%Fp"FRl1 <br />EHD 40-06 6/30/2005 Page I of <br />POULTRY RANCH <br />DBA®�. <br />INSPECTI AT <br />Structure <br />Operation <br />Water Well <br />t4"4It <br />0910(la <br />❑ <br />❑ <br />1. Well Construction <br />PREMISE ADDRESS <br />REINSP CTION DATE <br />❑ <br />❑ <br />2. Cross-Connection.5 <br />1 <br />Structure <br />Operation <br />Manure Management <br />OWNER/OPERATOR <br />PHONE /� ['Q /�^� <br />" `g(J <br />11 <br />3. Spreading and Disking <br />0� L.�i CJ f <br />❑ <br />❑ <br />4. Concrete Tanks <br />INSELCTION TYPE <br />PROGRAM ELEMENT <br />RECORD ID <br />❑ <br />❑ <br />5. Lagooning <br />Z. <br />❑ <br />❑ <br />6. Composting <br />The items below represent code violations a d must be corrected: <br />Structure <br />Operation <br />Bird Disposal <br />❑ <br />❑ <br />7. Burying with 2" of Cover <br />❑ <br />❑ <br />8. Approved Concrete Tank <br />I a- <br />❑ ❑ 9. Removal from Premises <br />Structure <br />Operation <br />Vector Control <br />❑ <br />❑ <br />10. Domestic FI <br />❑ <br />❑ <br />11. Fannia FI <br />❑ <br />❑ <br />12. Larvae <br />1A LZ19X- <br />11 <br />❑ <br />13. Pupae <br />❑ <br />. <br />❑ <br />14. Adult <br />�r <br />hi0 <br />❑ <br />❑ <br />15. Light Population <br />❑ <br />❑ <br />16. Moderate Population <br />ffl&4P'%114n;/J eA <br />❑ <br />❑ <br />17. Heavy Po ulation <br />Structure <br />Operation <br />FeedinglWater <br />8 <br />❑ <br />❑ <br />18. Water Troughs <br />❑ <br />❑ <br />19. Cups or Bowls <br />❑ <br />❑ <br />20. Food Storage <br />Structure <br />Operation <br />Houses <br />❑ <br />❑ <br />21. Floors <br />❑ <br />❑ <br />22. Walls/Ceilings <br />❑ <br />❑ <br />23. Cleanina Frequencyj <br />KENNEL <br />i i !A <br />Structure <br />OperatIFloors <br />Water Well <br />❑ <br />❑1. <br />Well Construction <br />El <br />2. Cross Connection <br />Structure <br />Operat <br />t <br />+ <br />❑ <br />❑ <br />3. Properly Graded to <br />❑ <br />❑ <br />4. Drain <br />l <br />L <br />/N4 --b 5S • <br />f i r <br />❑ <br />❑ <br />5. Smooth/Cleanable <br />❑❑ <br />6. Covin <br />% <br />11 <br />7. Cleaning Frequencyti- <br />Structure <br />Operation <br />Walls <br />t <br />N t t5 <br />. <br />�V <br />11 <br />❑ <br />❑ <br />8. Smooth/Cleanable <br />t <br />❑ <br />❑ <br />9. Cleaning Frequency <br />Structure <br />Operation <br />Cages <br />❑ <br />❑ <br />10. Condition <br />-1-.6 ` <br />❑ <br />❑ <br />11. Sanitation <br />Structure <br />Operation <br />Food <br />❑❑ <br />12. Storage <br />11❑ <br />13. Insect/Vermin <br />Structure <br />Operation <br />Animal Disposal <br />❑ <br />❑ <br />14. Removal from Premises <br />❑ <br />❑ <br />15. Other <br />Structure <br />Operation <br />Sewage Disposal <br />t s <br />y� <br />GZ !.{`. <br />❑ <br />❑ <br />16. Septic System <br />❑ <br />❑ <br />17. Sewer <br />Structure <br />Operation <br />Rabies Vaccination <br />RECEIVED BY <br />INSPECTOR <br />❑ <br />❑ <br />18. Certificate on Premises <br />y� <br />D <br />q-Y� b& <br />EHD 40-06 6/30/2005 Page I of <br />