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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> Y34 ,75e <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. Phone 468420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH N ,tj,S <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION q I+ o <br /> _- 2. CROSS-CONNECTION <br /> MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> -_ 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS <br /> -- 5. LAGOONING <br /> - - 6. COMPOSTING <br /> BIRD DISPOSAL <br /> _ - 7. BURYING WITH 2'OF COVER <br /> -- 8. APPROVED CONCRETE TANK <br /> -® 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> 10. DOMESTIC FLY ° <br /> - 11. FANNIA FLY &n Ala <br /> ® _ 12. LARVAE <br /> 13. PUPAE <br /> 14. ADULT a <br /> 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION <br /> 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> 18. WATER TROUGHS <br /> 19. CUPS OR BOWLS <br /> 20. FOOD STORAGE <br /> HOUSES <br /> ® 21. FLOORS <br /> 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY ® 4 <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 /> -- <br /> S. 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 /> RAINES VACCINATION <br /> -- <br /> 18. CERTIFICATE ON PREMISES <br /> SANITARIAN RECEIVED BY <br /> 0 EH 07-01(64p) <br />