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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)4684= <br /> PERMIT NO. <br /> STR. OPER. DBA / Inspecion Dale <br /> POULTRY RANCH Gvl //-, <br /> WATER WELL Premise A&ress Recheck Date <br /> -_ 1. WELL CONSTRUCTION <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> EME14T e <br /> _ 3. SPREADING AND,DIKING 1. <br /> 4. CONCRETE TANKS <br /> - el 5. LAGOONING lea <br /> -- 6. COMPOSTING <br /> BIRD DISPOSAL <br /> 7. BURYING WITH 2'OF COVER f _ <br /> -_ 8. APPROVED CONCRETE TANK I� <br /> -_ 9. REMOVAL FROM PREMISES ddr <br /> VECTOR C TROL <br /> 10. DOMESTIC FLY ®` <br /> II FANNIA FLY <br /> 12. LARVAE /� <br /> 13. PUPAE <br /> 14. ADULT <br /> ® 15. LIGHT POPULATION 424 P 4,164V <br /> -_Id.16. MODERATE POPULATION <br /> - 17. HEAVY POPULATION <br /> FEEDING/WATER -y <br /> - - 18. WATER TROUGHS , ®` 3L O? <br /> 19. CUPS OR BOILS <br /> . FOOD STORAGE f <br /> HOUSES Otd + <br /> -_ 21. FLOORS <br /> -- 22. WALLS/CEILINGS ./ <br /> -_ 23. CLEANING FREQUENCY e mkv <br /> STIR. OPER. <br /> KENNEL - - <br /> WATER WELL 0 goo <br /> 1. WELL CONSTRUCTION <br /> _ - 2. CROSS CONNECTION <br /> FLOORS kA ZI <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 7� <br /> FOOD <br /> -- 12. STORAGE <br /> -_ 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES yLQ ° <br /> - - 15. OTHER <br /> r <br /> SEWAGE DISPOSAL <br /> -_ 16.,SEPTIC SYSTEM <br /> - - 17. SEWER <br /> RABIES VACCINATION �.-... <br /> -_ 18. CERTIFICATE ON PREMISES <br /> SANITARIAN 4RIVED BY <br /> 40 EH 07-01(940) <br />