Laserfiche WebLink
SAN JOAQUIN <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) 20 <br /> PERMIT NO. 1 t� <br /> STR. OPER. DBA45ins ton Tte <br /> POULTRY RANCHO <br /> WATER WELL PremiseAddress tj <br /> Recheck DaVe - <br /> - - 1. WELL CONSTRUCTION rr <br /> O <br /> -- 2. CROSS-CONNECTION <br /> AGNT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> - - 3. SPREADING AND D19CING <br /> - - 4. CONCRETE TANKS ' <br /> -- 5. LAGOONING ` 4 t +ati. <br /> -- 6. COMPOSTING <br /> BIRD DISPOSAL6CL <br /> - - 7. BURYING WITH 2°OF COVER <br /> -- 8. APPROVED CONCRETE TANK o^ <br /> - - 9. REMOVAL FROM PREMISES Iry 4� ,G < <br /> VECTOR CONTROL <br /> - ® 10. DOMESTIC FLY <br /> - - 11. FANNIA FLY <br /> - - 12. LARVAE <br /> -- 13. PUPAE �V- - <br /> ®- 14. ADULT - <br /> - - 15. LIGHT POPULATION ®l <br /> -- 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION <br /> FEEDING/WATER 8 <br /> - _ 18. WATER TROUGHS r. <br /> -- 19. CUPS OR BOWLS 1 <br /> - 20. F STORAGE <br /> HOUSES <br /> -- 21. FLOORS <br /> -_ 22. WALLS/CEILINGS <br /> - - 23. CLEANING FREQUENCY <br /> STR. OPER. P0 ° <br /> KENNEL <br /> - <br /> WATER WELL <br /> -e 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS <br /> - ® 3. PROPERLY GRADED TO SEWER <br /> - - 4. DRAIN <br /> -e 5. SMOOTH/CLEANABLE <br /> - - 6. COVING <br /> 7. CLEANING FREQUENCY e <br /> WALLS <br /> - - 8. SMOOTH/CLEANABLE <br /> _ e 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 <br /> VACCINATION18. CERTIFICATE ON PREMISES L� u <br /> Environmental Health Specialist eceiv By <br /> S EH 07.01( ) <br />