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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) 420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH 1115-1917 <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION gow met L <br /> ®- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> 3. SPREADING AND DWCINc rT Ill/ GC.� ) 1 <br /> ® 4. CONCRETE TANKS / <br /> 5. LAGOONING rl <br /> _- 6. COMPOSTING v <br /> BIRD DISPOSAL <br /> - - 7. BURYING WITH 2°OF COVER �+f <br /> 8. APPROVED CONCRETE TANK <br /> - 9. REMOVAL FROM PREMISES • - <br /> VECTOR CONTROL <br /> ® 10. DOMESTIC FLY <br /> ® 11. FANNIA FLY <br /> 12. LARVAE <br /> 13. PUPAE <br /> ULT <br /> Is. LIGHT POPULATION �°C"��� / <br /> ®� 16. MODERATE POPULATION <br /> 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS <br /> -® 19. CUPS OR BOWLS No \i � / <br /> - - 20. F STORAGE �" '1 9 <br /> HOUSES - !wiCaI /S � j I�ly <br /> - 21. FLOORS �L- <br /> -- 22. WALLS/CEILINGS ( l'a 13twy1 <br /> -- 23. CLEANING FREQUENCY -- <br /> STR. OPER. <br /> KENNEL - <br /> WATER WELL <br /> -® 1. WELL CONSTRUCTION <br /> ® - 2. CROSS CONNECTION <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 <br /> 12. STORAGE <br /> -- 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> - - 15. OTHER <br /> SEWAGE DISPOSAL <br /> 16.,SEPTIC SYSTEM <br /> ® � 17. SEWER <br /> RABIES VACCINATION <br /> - 18. CERTIFICATE ON PREMISES <br /> Envir mental Health Specialist Received By <br /> ® EN 07-09(8.00) <br />