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1 <br /> SAN JOAQUIN COUNTY' <br /> PUBLIC HEALTH SERVICES j <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> Phone(209)468,3420 <br /> COMPUTER NO. <br /> PERMIT NO. <br /> STR. OPER. <br /> DBA Inspection Date <br /> POULTRY RANCH <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION t, V <br /> 2. CROSS-CONNECTION f <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: I <br /> MANURE MANAGEMENT <br /> _ 3. SPREADING AND D19CING 'bv F <br /> _ �4. CONCRETE TANK �1� <br /> v5. LAGOONING Q( Qu-x uf,- V ( '1 4 ' ` <br /> 6. COMPOSTING �1. <br /> � f <br /> BIRD DISPOSAL <br /> 7. BURYING WITH 2'OF COVER Ir L 4 <br /> _ 8. APPROVED CONCRETE TANK <br /> _ 9. REMOVAL FROM PREMISES �j q(�l V O <br /> VECTOR C9NTROL <br /> 1/10. DOMESTIC FLY <br /> 11. FANNIA FLY <br /> _ 12. LARVAE r�c <br /> I'll <br /> PUPAE J <br /> j <br /> _ -K 14. ADULT -� <br /> /15. LIGHT POPULATION <br /> 16. MODERATE POPULATION ^� n..JA p <br /> _ 17. HEAVY POPULATION 1 NISJ N, l7 IOO-O <br /> FEEDING/WA_TER 11 Oa <br /> _ WATER TROUGHS <br /> 19. CUPS OR BOWLS <br /> _ _ 20. FOOD STORAGE <br /> HOUSES A • r <br /> _ 21. FLOORS ((�� <br /> /22. WALLS/CEILINGSCC�wy�-1" t Z 8 Cl 0 O 0 <br /> _ 23. CLEANING FREQUENCY �j� a 00 <br /> SIA. OPER. <br /> KENNEL <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> f <br /> 2. CROSS CONNECTION <br /> FLOORS i <br /> UPI <br /> _ 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> _ 5. SMOOTH/CLEANABLE <br /> _ 6. COVING W <br /> 7. CLEANING FREQUENCY <br /> WALLS <br /> 8. SMOOTH/CLEANABLE 1 CA�b <br /> _ 9. CLEANING FREQUENCY ' <br /> CAGES <br /> 10. CONDITION <br /> 11. SANITATION <br /> FOOD <br /> _ 12. STORAGE <br /> 13. INSECT/VERMIN i <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEWAGE DISPOSAL <br /> 16. SEPTIC SYSTEM ICA <br /> 17. SEWER <br /> RABIES VACCINATION 'lull,ft A <br /> 18. CERTIFICATE ON PREMISES I A*4N w Nv- REC Y <br /> 0 EN 07-01(690) <br />