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COMPUTER NO <br />PERMIT NO <br />STR. OPER.. <br />POULTRY RANCH <br />WATER WELL <br />1. WELL CONSTRUCTION <br />2. CROSS -CONNECTION <br />MANURE MANAGEMENT <br />_ 3. SPREADING AND DICCING <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 <br />_ 12. LARVAE <br />13. PUPAE <br />14. ADULT <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 <br />STA. OPER. <br />KENNEL <br />WATER WELL <br />1. WELL CONSTRUCTION <br />_ <br />2. CROSS CONNECTION <br />FLOORS <br />_ <br />3. PROPERLY GRADED TO SEWER <br />_ <br />4. DRAIN <br />5. SMOOTH/CLEANABLE <br />_ <br />6. COVING <br />_ <br />7. CLEANING FREQUENCY <br />WALLS <br />_ <br />8. SMOOTH/CLEANABLE <br />9. CLEANING FREQUENCY <br />CAGES <br />_ <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 VACCINATION <br />- - 18. CERTIFICATE ON PREMISES <br />S @.H 0741 (690) <br />SAN JOAQUIN COUNTY <br />LPUBLIC HEALTH SERVICES <br />VIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95202 <br />VECTOR CONTROL INSPECTION FORM <br />DBA <br />S- K • S <br />Premise Address <br />I $ &OD <br />C tl tC )<t/q RAnl c." <br />fv)ELL o- r? 0 k I Pao'i <br />Phone (209) 468-3420 <br />Recheck Date <br />THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br />COIYIP4AINr f� 91047(, (/1✓I/4- GT " (?f 1/�,iVES7lGH7Eb <br />ne f o C. it IG K F nt pw 67 k C r'0 V'ED F Rom f -2<A L 1 7 *f <br />I wycVEP 07Mee `70 /v �SCHt--1 <br />1-0 /3e PrCe 6f) CA p 0 15 POS P -G- C1D'rv\ PA -A1 `> . <br />3i KEEP /3AXRCL-c OF 136" C'HtGlc-EM eoVtR�Q <br />A -L-(- 7'146 iimC Cd(" pt- y /m mf ID/ p?L"V, <br />M /�(li2Ls S'TOcKPtLED //V Re.-m1s&,g <br />s tvct n��ev <br />A -I_& I'M A^J LkRt, j3�j <br />5 iwoor-- tegrer F'c..y P,,?,U/3L.E m SeEN , ry FAiccLf `Z . <br />Or W s E 1'12E. esu Re'j To c--0tl7,eo L P,e01? L-6- m, <br />Gom��7 /rn/nf dr ATL` <br />Ca d /S <br />1/-4 .Ani `7 /V7 R/,iU g & Ir H47 OW3 <br />'S PR 6 - <br />IA) A rfF /?- <br />IA)ArG-lL f9UTLEZ'S A- r- M/i-NLI,1242 _5,FOP-1 <br />!-AN Ic S. COMPL'7' 13y <br />