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R 1 <br /> SAN JOAQUIN COUNTY <br /> 0 <br /> z,'j <br /> ? ARONMENTAL EALTH DEPART 4T <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> qG/Fi7Rci <br /> VECTOR CONTROL INSPECTION FORM <br /> POULTRY RANCH DBA INSPECOND E <br /> Structure Operation Water Well <br /> ❑ El1. Well Construction PREMISE ADDRESS REINSP CTION DATE <br /> ❑ ❑ 2. Cross-Connection <br /> Structure Operation Manure Management OWNER70 ERAT PHONE <br /> 11 El3. Spreading and Disking <br /> ❑ ❑ 4. Concrete Tanks INSP TION YPE PROGRAM ELEMENT REj;OjRD ID <br /> ❑ ❑ 5. Lagooning <br /> ❑ ❑ 6. Composting The items below represent code violations and must be corrected: <br /> Structure Operation Bird Disposal <br /> ❑ ❑ 7. Burying with 2"of Cover <br /> ❑ ❑ 8. Approved Concrete Tank <br /> Cl ❑ 9. Removal from Premises f5 <br /> Structure Operation Vector Control <br /> ❑ 10. Domestic FI <br /> ❑ ❑ 11. Fannia FI <br /> ❑ ❑ 12. Larvae <br /> ❑ ❑ 13. Pupae <br /> El ❑ 14. Adult <br /> Temm- <br /> E] D 15. Light Population <br /> t <br /> El El16. Moderate Population l <br /> ❑ ❑ 17. Heavy Population <br /> Structure Operation Feeding/Water <br /> ❑ ❑ 18. Water Troughs <br /> ❑ ❑ 19. Cups or Bowls <br /> ❑ ❑ 20. Food Storage <br /> t <br /> Structure Operation Houses <br /> ❑ ❑ 21. Floors <br /> ❑ 22. Walls/Ceilings <br /> ❑ ❑ 23. Cleaning Fre uenc <br /> KENNEL <br /> Structure Operation Water Well ► <br /> 11 ❑ 1. Well Construction 1 1 <br /> ❑ ❑ 2. Cross Connection <br /> Structure Operation Floors <br /> ❑ ❑ 3. Properly Graded to <br /> ❑ 0 4. Drain t <br /> ❑ ❑ 5. Smooth/Cleanable <br /> ❑ El6. Covin <br /> ❑ ❑ 7. Cleaning Frequency <br /> Structure Operation Walls <br /> ❑ ❑ 8. Smooth/Cleanable <br /> ❑ ❑ 9. Cleaning Fre uenc MUIL-Ales wag, <br /> Structure Operation Cages <br /> 11 ❑ 10. Condition <br /> ❑ ❑ 11. Sanitation <br /> Structure Operation Food <br /> 12. Storage <br /> ❑ 13. Insect/Vermin ,hl <br /> Structure Operation Animal Disposal <br /> 0 El 14. Removal from Premises <br /> ❑ ❑ 15. Other <br /> E <br /> Sewage Disposal <br /> 16. S tic S stem <br /> 17. Sewer Rabies Vaccination RECEIVED BY18. Certificate on Premises <br /> EHD 40-06 6/30/2005 Page_Of_ <br />