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SAN JOAQU'IN LOCAL HEALT (STRICT <br />1601 E. HAZELTON AVENUE, STOCKTON, CA <br />VECTOR CONTROL INSPECTION FORM <br />�, Z 1 <br />COMPUTER` NO. C _ <br />PERMIT NO <br />DBA <br />STIR. OPER. r <br />POULTRY RANCH <br />WATER, WELL Premise Address <br />_ - 1. WELL CONSTRUCTION CD jaia <br />2. CROSS -CONNECTION Cj <br />THE ITEM BELOW -REPRESENT CoD VIOLATIONS <br />MANURE'MANAGEMENT <br />_ _ 3. SPREADING AND DISCING <br />- TANKSCONCRETE �T <br />GOONING I < 4, - - 1 y , <br />POSTING <br />BIRD DISPOSAL <br />7. BURYING WITH 2° OF COVER <br />8. APPROVED CONCRETE TANK V <br />9. REMOVAL FROM PREMISES <br />VECTOR CPNTROL <br />10. DOMESTIC FLY <br />11. FANNIA FLY <br />12. LARVAE <br />s PUPAE <br />e/ 1 "ADULT <br />15. LIGHT POPULATION <br />16. MODERATE POPULATION �W'�* <br />_ 17. HEAVY POPULATION <br />FEEDING /WATER <br />xn <br />- 18. WATER TROUGHS <br />19. CUPS OR BOWLS <br />_ 20. FOOD STORAGE <br />HOUSES <br />_ _ 21. FLOORS <br />22. WALLS/CEILINGS OK <br />23. CLEANING FREQUENCY <br />STIR. 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 />5. 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 />SANT ARIAN <br />N3 F4a nznr Lala �t. <br />STOCKTON 466-6781 <br />LODI 369-3621 ' <br />MANTECA 823-7104 <br />TRACY 835-6385 <br />Inspection Date <br />Recheck Date <br />AND M T CORRECTED'. <br />J <br />