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SAN JOAQUIN COUNTY _0 <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)468.3420 <br /> PERMIT NO. <br /> STR. OPER. <br /> DBA Inspection Date <br /> POULTRY RANCH <br /> WATER W LL premise Address Recheck Date <br /> 1. WELL CONSTRUCTION <br /> CROSS-CONNECTION <br /> MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND DIKING �.` �� !/ _-• � �; n <br /> CONCRETE TANKS <br /> 5. LAGOONING O K wC-ou <br /> 1"Z124 r 99,10 / <br /> 6. COMPOSTING �e u 01&4 <br /> /4 1° <br /> BIRD DISPOSAL /OF7IC e <br /> BURYING WITH 2'OF COVER �) 1 T c- <br /> 7. 400!2u !X /D 'ne z <br /> _^ <br /> S. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES <br /> VECTOR NTROL <br /> 0. DOMESTIC FLY ' Y <br /> 11. FANNIA FLY u0get 1'f LX <br /> 12. LARVAE `f i <br /> PUPAE al-5. L° <br /> _ ADULT �J <br /> LIGHT POPULATION ''K C Cl'o <br /> 16. MODERATE POPULATIONS /l p <br /> _ <br /> 17. HEAVY POPULATION 11 /adv --r=.' --� '�' Q �r <br /> FEEDING/WATER rl:5 <br /> t y <br /> TROUGHSIS WATER <br /> 19. CUPS OR BOWLS �1 NAuST �c10 <br /> _ - 20. FOOD STORAGE ( ` e . <br /> HOUSES 4111 1*v-gA-g <br /> 21. FLOORS <br /> -_ ,22 WALLS/CEILINGS e <br /> V 23. CLEANING FREQUENCY Q , <br /> STR. OPER. ®/ <br /> KENNEL <br /> WATER WELL Q 'X v ® 0,7L ms=s ep <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER l Y� <br /> 4. GRAIN p <br /> t <br /> 5. SMOOTH/CLEANABLE <br /> 6. COVING e <br /> 7. CLEANING FREQUENCY <br /> e <br /> WALLS <br /> S. SMOOTH/CLEANABLE c Ct <br /> 9. CLEANING FREQUENCY <br /> CAGES Q $� <br /> _ 10. CONDITIONe <br /> 11. SANITATION ' <br /> FOOD t <br /> 12. STORAGE <br /> _ 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL r <br /> _ 14. REMOVAL FROM PREMISES <br /> 15. OTHER a I <br /> SEWAGE DISPOSAL <br /> ® 16. SEPTIC SYSTEM r r r /� <br /> 17. SEWER <br /> RABIES VACCINATION <br /> -_ es.CERTIFICATE ON PREMISES SANITA IAN RECEIVED BY <br /> 0 EH 07-01(8-10) <br />