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jVO \ <br />VECTOR BIOLOGY CONTROL <br />INSPECTION REPORT I3) PURPOSE <br />1) TRAVEL TIME SAN JOAQUIN LOCAL HEALTH DISTRICT R FU CON COM 0TH <br />MIN. V DIVISION OF ENVIRONMENTAL HEALTH � 0 O <br />HRS. MARKED ITEMS REPRESENT VIOLATIONS TO BE <br />2) DATE j..► M -"d 0 CORRECTED AS INDICATED ON ATTACHMENTS 4) Inspection Time 0- <br />MAINT <br />S 56 LIST EQUIPMENT VIOLATION <br />5 ACCESS ROADS ❑ ❑z U IN SS N N <br />6 DRAINAGE ❑ El £ <br />AA9 d 17N C_ <br />7 WATER POLLUTION ❑ ❑ = OWNER LA D/ IRDS -DOGS <br />�n 8 HUMAN SAFETY HAZARDS ❑ ❑ w 1?�. L j, , "► 17 Z f <br />9 ANIMAL SAFETY HAZARDS ❑D I MANAGER/CONTACTPERSON'S HONE NUMBER <br />57 CHEMICALS USED 2-1�;- - Fb 0 rwrili <br />N FS PERMIT NUMBER <br />10 WALLS i Gio ory Ro <br />11 FLOORSSIMS AUUHLSS PERMIT EXPIRATION DATE <br />12 WALKWAYS El Ell 08 (9(a C- if 14eLLn Ro - lo <br />W 13 RUNWAYS (Kennels) ❑ HUSIN SS ADDRESS <br />14 BENEATH CAGES <br />�- � ❑ IYPE-UPERATION NUMBER BIRDS GS <br />15 BUILDINGS ❑ ❑ — <br />H 16 RESTROOMS ❑ b <br />17 FENCIIfG ❑ ❑58 NUMBER H USES OPUL TION PER HOUSE OPER. MONTHLY :: ° YE RLY 'SE S N L <br />Aj 449, <br />IN . <br />18 CONSTRUCTION bg TY ES/BIRDS - DOGS PER CAGE ❑ <br />❑ ❑ 72 WATER TROUGHS <br />19 POTABLE a ❑ w S LI ION/ DS USED/ 0 LEAKING <br />SQUARE FEET OR CONCENTRATION 0 CROSS CONNECTION <br />❑ El <br />CONDITION [] ❑ (UNIT SPACE) 73 CUPS OR BOWLS <br />21 CROSS CJNNECTIONS [� z 61 FREQUENCY OF APPLIC TION z 0 LEAKING <br />w w 74 FOOD TROUGH CONST. <br />a 22 WATERING METHOD Q ❑ 0 62 STORAGE OF PESTICIDES/RODENTCIDES w (:) TIGHT -FITTING <br />Lu CUPS © ¢ 0 SPILLAGE NOTED <br />3 BOWLS Q o a 75 FOOD STORAGE <br />TROUGH 63 EMPLOYEE PROTECTION � ❑ ❑ <br />U 64 EMERGENCY WASHDOWN o 0 STORED ON PALLET <br />23 OVERFLOW DRAINAGE N ,,, OFF FLOOR <br />FROM SPRINKLERS ❑ ❑ a 65 ASPIRATORS LL 0 SPILLAGE NOTED _ <br />24 VETERINARIAN(S) 66 RUBBER SUITS, GLOVES, OTHER <br />76 VERMIN NOTED ❑ LJ <br />NAME PROTECTION Q. S <br />ADDRESS 67 MUSCA DOMESTICA FLY:LIGHT:MODERATE;HEAVY 170 SAMPLES TAKEN) . <br />Q 1. LARVAE 0 ; [J! ❑ ; ❑ <br />F 25 RABIES VACCINATIONS , <br />a CURRENT (KENNELS) 2. PUPAE 0 [] ❑ ❑ <br />= 26 FEEDING REGIMEN POSTED I] ❑ 3. ADULT O U ❑ i ❑ <br />J (EACH ANIMAL KENNEL) ' <br />68 FANIA FLY 71 ESTIMATED INFESTATION/HARBORAGE <br />27 PROPER CONFINEMENT CAGES <br />FOR DISEASED ANIMALS ❑ 1. LARVAE 0 iiE <br />28 BEDDING ❑ ❑ 2. PUPAE 0 ❑ ❑ ❑ <br />w ❑ ❑ i ❑ <br />29 NUMBER RUNS 0 � 3. ADULT � <br />y 69 OTHER ❑ ' p <br />30 NUMBER ROWS OF CAGES q O C, <br />C) 31 CLEANING FREQUENCY ❑ 11 <br />DAILY <br />F EVERY OTHER DAY <br />Z WEEKLY 0 <br />32 CLEANING METHOD <br />33 LANDFILL ❑ ❑ <br />34 SPREADING AND DISCING ❑ <br />35 COMPOSTING ❑ ❑ <br />J 36 LAGOONING ❑ ❑ <br />0 37 CONCRETE TANKS ❑ ❑ <br />38 SEPTIC SYSTEM (KENNELS) ❑ <br />39 PERMIT # <br />40 HISTORY OF FAILURE <br />41 STORAGE METHOD jr- <br />Lu <br />42 CONCRETE PAD ❑ ❑ <br />3 43 TIGHT FITTING COVER [] ❑ <br />0 44 MANURE PROPERLY COVERED [] Q <br />C) 45 ALTERNATE METHOD <br />46 RESTROOM FACILITIES E] ❑ <br />z 47 HOT AND COLD WATER ❑ ❑ <br />ui <br />48 INDIVIDUAL TOWELS ❑ ❑ <br />> 49 HAND SOAP ❑ Q <br />x <br />ui <br />50 REFUSE/GARBAGE DISPOSAL ❑ d <br />0 <br />W 51 NON ABSORBENT CONTAINERS ❑ <br />52 TIGHT FITTING LIDS ❑ <br />53 BURYING WITH 2' OF COVER ❑ d 7 GENERAL CONDITION P D F G E <br />c 54 APPROVED CONCRETE TANK ❑ ❑ <br />0 55 REMOVAL FROM PREMISES ❑ F] XANI I <br />STORAGE R` <br />mLANDFILLODISPOSEDEAT « J41V <br />EH 12-17 12/79 200 Sets <br />